Provider Demographics
NPI:1750680526
Name:KATHLEEN J WASHPUN FOUNDATION
Entity Type:Organization
Organization Name:KATHLEEN J WASHPUN FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:JULIE
Authorized Official - Last Name:WASHPON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-614-0029
Mailing Address - Street 1:510 GUADALUPE ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-2924
Mailing Address - Country:US
Mailing Address - Phone:512-614-0029
Mailing Address - Fax:
Practice Address - Street 1:7901 CAMERON RD
Practice Address - Street 2:BLDG 2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3831
Practice Address - Country:US
Practice Address - Phone:512-614-0029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-20
Last Update Date:2011-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric