Provider Demographics
NPI:1205559309
Name:KLYR NATURAL COSMETICS
Entity type:Organization
Organization Name:KLYR NATURAL COSMETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHYNA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-972-3675
Mailing Address - Street 1:771 S EAST AVE APT 78
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5967
Mailing Address - Country:US
Mailing Address - Phone:609-972-3675
Mailing Address - Fax:
Practice Address - Street 1:771 S EAST AVE APT 78
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5967
Practice Address - Country:US
Practice Address - Phone:609-972-3675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities