Healthcare Provider Details

I. General information

NPI: 1447768528
Provider Name (Legal Business Name): HUMANISTIC FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2018
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 ELSEY ST
BAKERSFIELD CA
93309-1419
US

IV. Provider business mailing address

5757 W CENTURY BLVD STE 303
LOS ANGELES CA
90045-6409
US

V. Phone/Fax

Practice location:
  • Phone: 661-324-2331
  • Fax: 661-324-1108
Mailing address:
  • Phone: 323-290-2540
  • Fax: 323-290-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number191800491
License Number StateCA

VIII. Authorized Official

Name: MS. MARCHELETTA MADISON
Title or Position: DIRECTOR
Credential:
Phone: 661-303-1675