Provider Demographics
NPI:1053494252
Name:WORKING FOR INDEPENDENCE
Entity Type:Organization
Organization Name:WORKING FOR INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:J
Authorized Official - Last Name:PAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-858-5366
Mailing Address - Street 1:5366 VANN ROAD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-8481
Mailing Address - Country:US
Mailing Address - Phone:812-858-5366
Mailing Address - Fax:812-858-6950
Practice Address - Street 1:5366 VANN ROAD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8481
Practice Address - Country:US
Practice Address - Phone:812-858-5366
Practice Address - Fax:812-858-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty