Provider Demographics
NPI:1790497725
Name:KIDZ UNIVERSITY A NONPROFIT ORGANIZATION
Entity Type:Organization
Organization Name:KIDZ UNIVERSITY A NONPROFIT ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-779-0144
Mailing Address - Street 1:92 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-2913
Mailing Address - Country:US
Mailing Address - Phone:973-458-0033
Mailing Address - Fax:
Practice Address - Street 1:92 MONROE ST
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-2913
Practice Address - Country:US
Practice Address - Phone:973-458-0033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging