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Organization

FOUNDATIONS TOTAL CARE LLC

Active
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Organization

FOUNDATIONS TOTAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TEAIRA N MALLORY (DIRECTOR OF OPERATIONS/ OWNER)
(937) 422-7330
Entity
Organization

Contact information

Practice address
12 W WENGER RD STE S, ENGLEWOOD, OH 45322-2755
(937) 540-0202
(937) 998-1036
Mailing address
12 W WENGER RD STE S, ENGLEWOOD, OH 45322-2755
(937) 540-0202
(937) 998-1036

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
314000000X
Skilled Nursing Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—

Other

Enumeration date
10/15/2024
Last updated
12/12/2025
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