Provider Demographics
NPI:1639349855
Name:NEW FOUNDATION ASSISTED LIVING FACILITY
Entity Type:Organization
Organization Name:NEW FOUNDATION ASSISTED LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:281-449-7710
Mailing Address - Street 1:8619 BOLD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-2301
Mailing Address - Country:US
Mailing Address - Phone:281-448-7710
Mailing Address - Fax:281-448-7710
Practice Address - Street 1:8619 BOLD FOREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2301
Practice Address - Country:US
Practice Address - Phone:281-448-7710
Practice Address - Fax:281-448-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility