Organization
ALL KIDZ KAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN VIELMA (OWNER)
(903) 261-1012
Entity
Organization
Contact information
Practice address
2902 E FRONT ST, TYLER, TX 75702
(903) 261-1012
Mailing address
1301 PRAIRIE DR, LEWISVILLE, TX 75067-5563
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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