Provider Demographics
NPI:1851734107
Name:FOUNDATIONS FOR INDEPENDENCE LLC
Entity Type:Organization
Organization Name:FOUNDATIONS FOR INDEPENDENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-995-1170
Mailing Address - Street 1:2316 N COLE RD STE C
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-7365
Mailing Address - Country:US
Mailing Address - Phone:208-250-4561
Mailing Address - Fax:208-246-1525
Practice Address - Street 1:2316 N COLE RD STE C
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-7365
Practice Address - Country:US
Practice Address - Phone:208-250-4561
Practice Address - Fax:208-246-1525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services