Provider Demographics
NPI:1346571064
Name:KIDS IN NEED OF DIETARY SERVICES, LLC
Entity Type:Organization
Organization Name:KIDS IN NEED OF DIETARY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:G
Authorized Official - Last Name:LEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD
Authorized Official - Phone:817-689-4787
Mailing Address - Street 1:PO BOX 2023
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76202-2023
Mailing Address - Country:US
Mailing Address - Phone:940-384-6256
Mailing Address - Fax:940-382-7680
Practice Address - Street 1:912 COMMONWEALTH COURT
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179
Practice Address - Country:US
Practice Address - Phone:817-689-4787
Practice Address - Fax:817-232-4345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty