Provider Demographics
NPI:1396046736
Name:VIGO COUNTY HOMES FOR CHILDREN
Entity type:Organization
Organization Name:VIGO COUNTY HOMES FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA PRIESTER
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:PRIESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-462-3256
Mailing Address - Street 1:1308 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-1112
Mailing Address - Country:US
Mailing Address - Phone:812-462-3256
Mailing Address - Fax:812-234-4433
Practice Address - Street 1:1308 S 6TH ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-1112
Practice Address - Country:US
Practice Address - Phone:812-462-3256
Practice Address - Fax:812-234-4433
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIGO COUNTY GOVERNMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN42315385HR2055X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child