Provider Demographics
NPI:1407195993
Name:FOSTERING SOLUTIONS
Entity Type:Organization
Organization Name:FOSTERING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIONDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHANON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-403-9947
Mailing Address - Street 1:4157 N 61ST ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-1212
Mailing Address - Country:US
Mailing Address - Phone:414-403-9947
Mailing Address - Fax:
Practice Address - Street 1:4157 N 61ST ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-1212
Practice Address - Country:US
Practice Address - Phone:414-403-9947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management