Provider Demographics
NPI:1659772580
Name:KIDS ANIMALS LIFE AND DREAMS
Entity Type:Organization
Organization Name:KIDS ANIMALS LIFE AND DREAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:HAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-730-0218
Mailing Address - Street 1:PO BOX 91054
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85752-1054
Mailing Address - Country:US
Mailing Address - Phone:520-730-0218
Mailing Address - Fax:
Practice Address - Street 1:3320 E ALLEN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6664
Practice Address - Country:US
Practice Address - Phone:520-730-0218
Practice Address - Fax:520-682-2937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable