Provider Demographics
NPI:1699029157
Name:HUMAN SERVICES FOUNDATION
Entity Type:Organization
Organization Name:HUMAN SERVICES FOUNDATION
Other - Org Name:THE JOB COMPANY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER CEO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:MALONE
Authorized Official - Last Name:SUMERFORD
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:225-344-1600
Mailing Address - Street 1:1410 CONVENTION ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-4778
Mailing Address - Country:US
Mailing Address - Phone:225-344-1600
Mailing Address - Fax:225-344-1600
Practice Address - Street 1:1410 CONVENTION ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-4778
Practice Address - Country:US
Practice Address - Phone:225-344-1600
Practice Address - Fax:225-344-1694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA318324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility