Organization
NEW FOUNDATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY E WOODY M.A. (EXECUTIVE DIRECTOR)
(606) 862-8066
Entity
Organization
Contact information
Practice address
1108 S MAIN ST, LONDON, KY 40741-1529
(606) 862-8066
(606) 877-6566
Mailing address
PO BOX 1016, LONDON, KY 40743-1016
(606) 862-8066
(606) 877-6566
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
33000126
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33000126
—
KY
Enumeration date
12/21/2006
Last updated
08/22/2020
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