Provider Demographics
NPI:1962763037
Name:CHOICE FOUNDATION DBA MCDONOGH 42
Entity type:Organization
Organization Name:CHOICE FOUNDATION DBA MCDONOGH 42
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FULTON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:504-861-0659
Mailing Address - Street 1:2727 S CARROLLTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-4338
Mailing Address - Country:US
Mailing Address - Phone:504-861-8370
Mailing Address - Fax:
Practice Address - Street 1:1651 N TONTI ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-2540
Practice Address - Country:US
Practice Address - Phone:504-942-3660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)