Provider Demographics
NPI:1568797686
Name:KDZ ENTERPRISES INC
Entity Type:Organization
Organization Name:KDZ ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZSAZSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-664-8382
Mailing Address - Street 1:1807 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3023
Mailing Address - Country:US
Mailing Address - Phone:214-664-8382
Mailing Address - Fax:940-382-1101
Practice Address - Street 1:1807 N ELM ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3023
Practice Address - Country:US
Practice Address - Phone:214-664-8382
Practice Address - Fax:940-382-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health