Provider Demographics
NPI:1487964839
Name:KOINONIA FOSTER HOMES, INC.
Entity type:Organization
Organization Name:KOINONIA FOSTER HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGUELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:775-826-1113
Mailing Address - Street 1:1355 AIRMOTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3218
Mailing Address - Country:US
Mailing Address - Phone:775-826-1113
Mailing Address - Fax:775-826-0248
Practice Address - Street 1:1355 AIRMOTIVE WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3218
Practice Address - Country:US
Practice Address - Phone:775-826-1113
Practice Address - Fax:775-826-0248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health