Provider Demographics
NPI:1073751707
Name:KANDU INCORPORATED
Entity Type:Organization
Organization Name:KANDU INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:VREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-355-3213
Mailing Address - Street 1:4190 SUNNYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-8716
Mailing Address - Country:US
Mailing Address - Phone:616-396-3585
Mailing Address - Fax:616-396-2073
Practice Address - Street 1:4190 SUNNYSIDE DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-8716
Practice Address - Country:US
Practice Address - Phone:616-396-3585
Practice Address - Fax:616-396-2073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services