Provider Demographics
NPI:1306013156
Name:FOUNDATION INDUSTRIES INC
Entity Type:Organization
Organization Name:FOUNDATION INDUSTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBERT-OSWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-654-6283
Mailing Address - Street 1:9995 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-7435
Mailing Address - Country:US
Mailing Address - Phone:225-654-6283
Mailing Address - Fax:225-654-3988
Practice Address - Street 1:9995 MAIN ST
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-7435
Practice Address - Country:US
Practice Address - Phone:225-654-6283
Practice Address - Fax:225-654-3988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAADC 10585251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1950246Medicaid