Provider Demographics
NPI:1306131693
Name:RIGHT WAY FOUNDATION, LLC
Entity type:Organization
Organization Name:RIGHT WAY FOUNDATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CPRP
Authorized Official - Phone:602-403-4163
Mailing Address - Street 1:PO BOX 6927
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-6927
Mailing Address - Country:US
Mailing Address - Phone:602-403-4163
Mailing Address - Fax:480-634-6805
Practice Address - Street 1:4839 W BOSTON ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-4877
Practice Address - Country:US
Practice Address - Phone:602-403-4163
Practice Address - Fax:480-634-6805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL16403210253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care