Provider Demographics
NPI:1578073235
Name:KUAN ENTERPRISES INC
Entity Type:Organization
Organization Name:KUAN ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIXTO
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:NOVATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-531-8997
Mailing Address - Street 1:7774 118TH ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32244-3404
Mailing Address - Country:US
Mailing Address - Phone:561-531-8997
Mailing Address - Fax:904-212-2147
Practice Address - Street 1:7774 118TH ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32244-3404
Practice Address - Country:US
Practice Address - Phone:561-531-8997
Practice Address - Fax:904-212-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-09
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty