Provider Demographics
NPI:1770860876
Name:VON 'D KIDS
Entity Type:Organization
Organization Name:VON 'D KIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANTE
Authorized Official - Middle Name:DARUMA
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:956-544-8300
Mailing Address - Street 1:3505 BOCA CHICA BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4063
Mailing Address - Country:US
Mailing Address - Phone:956-544-8300
Mailing Address - Fax:956-544-8301
Practice Address - Street 1:3505 BOCA CHICA BLVD STE 204
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4063
Practice Address - Country:US
Practice Address - Phone:956-544-8300
Practice Address - Fax:956-544-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health