Provider Demographics
NPI:1023210523
Name:KEY FOUNDATION INC.
Entity Type:Organization
Organization Name:KEY FOUNDATION INC.
Other - Org Name:BEECH CREEK INDUSTRIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:DUKE
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:SED
Authorized Official - Phone:770-537-1621
Mailing Address - Street 1:1166 OLD RIDGEWAY RD
Mailing Address - Street 2:
Mailing Address - City:BREMEN
Mailing Address - State:GA
Mailing Address - Zip Code:30110-3723
Mailing Address - Country:US
Mailing Address - Phone:770-537-1621
Mailing Address - Fax:
Practice Address - Street 1:1166 OLD RIDGEWAY RD
Practice Address - Street 2:
Practice Address - City:BREMEN
Practice Address - State:GA
Practice Address - Zip Code:30110-3723
Practice Address - Country:US
Practice Address - Phone:770-537-1621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services