Healthcare Provider Details

I. General information

NPI: 1598070443
Provider Name (Legal Business Name): TRUTH FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E MAIN ST
NEW LONDON IA
52645-1218
US

IV. Provider business mailing address

304 E MAIN ST P.O. BOX 165
NEW LONDON IA
52645-1218
US

V. Phone/Fax

Practice location:
  • Phone: 319-931-7169
  • Fax:
Mailing address:
  • Phone: 319-931-7169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateIA

VIII. Authorized Official

Name: MR. SAMUEL J REIGHARD
Title or Position: CEO
Credential: M.A.
Phone: 319-931-7169