Provider Demographics
NPI:1013360411
Name:BAUER'S ALL ABOUT KIDS LLC
Entity Type:Organization
Organization Name:BAUER'S ALL ABOUT KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-335-5848
Mailing Address - Street 1:534 ARMORY RD.
Mailing Address - Street 2:
Mailing Address - City:ST.MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857
Mailing Address - Country:US
Mailing Address - Phone:814-335-5848
Mailing Address - Fax:
Practice Address - Street 1:534 ARMORY ROAD EXT
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-3668
Practice Address - Country:US
Practice Address - Phone:814-335-5848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency