Provider Demographics
NPI:1457800195
Name:TRUTH FOUNDATION, INC.
Entity Type:Organization
Organization Name:TRUTH FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-931-7169
Mailing Address - Street 1:304 E MAIN ST
Mailing Address - Street 2:P.O. BOX 165
Mailing Address - City:NEW LONDON
Mailing Address - State:IA
Mailing Address - Zip Code:52645-1218
Mailing Address - Country:US
Mailing Address - Phone:319-931-7169
Mailing Address - Fax:
Practice Address - Street 1:304 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:IA
Practice Address - Zip Code:52645-1218
Practice Address - Country:US
Practice Address - Phone:319-931-7169
Practice Address - Fax:855-275-2734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA083324251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health