National Provider Identifier Database

KIDS HARBOR INC
Voluntary or Charitable


Contact Information

KIDS' HARBOR, INC.
5717 CHAPEL DR.
OSAGE BEACH, MO65065
Phone: 573-348-6886
Fax: 573-348-6887
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for KIDS' HARBOR, INC.

NPI Number 1427038876
Legal business name
LBN
KIDS' HARBOR, INC.
Authorized official CARA GERDIMAN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/20/2006
Last updated 08/10/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 206002909
  • MO Medicaid: 241989565

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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