Provider Demographics
NPI:1508998675
Name:KIDS HOUSE OF SEMINOLE, INC.
Entity Type:Organization
Organization Name:KIDS HOUSE OF SEMINOLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:C
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-324-3036
Mailing Address - Street 1:5467 COUNTY ROAD 427
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32773-6332
Mailing Address - Country:US
Mailing Address - Phone:407-324-3036
Mailing Address - Fax:407-324-3045
Practice Address - Street 1:5467 COUNTY ROAD 427
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-6332
Practice Address - Country:US
Practice Address - Phone:407-324-3036
Practice Address - Fax:407-324-3045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty