=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427392380
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | IT'S ALL ABOUT KIDZ, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2012
-----------------------------------------------------
Last Update Date | 11/15/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9567 SUN DROP CT
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89147-6712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-445-0203
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9567 SUN DROP CT
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89147-6712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-445-0203
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MRS. MARINA RIT-BLOOM
-----------------------------------------------------
Credential | MSW
-----------------------------------------------------
Telephone | 702-445-0203
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253J00000X
-----------------------------------------------------
Taxonomy Name | Foster Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------