Provider Demographics
NPI:1184137010
Name:VAIL HOUSE-MIDLAND INC.
Entity type:Organization
Organization Name:VAIL HOUSE-MIDLAND INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:J
Authorized Official - Last Name:SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-374-0422
Mailing Address - Street 1:301 TOWNSEND ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-5130
Mailing Address - Country:US
Mailing Address - Phone:989-374-0422
Mailing Address - Fax:989-488-4162
Practice Address - Street 1:240 W MAIN ST STE 2600
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-5191
Practice Address - Country:US
Practice Address - Phone:989-374-0422
Practice Address - Fax:989-488-4162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health