Provider Demographics
NPI:1598493991
Name:WRIGHT COUNTY CHILDRENS HOME, INC.
Entity Type:Organization
Organization Name:WRIGHT COUNTY CHILDRENS HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-746-1420
Mailing Address - Street 1:528 W NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:65717-9168
Mailing Address - Country:US
Mailing Address - Phone:417-746-1420
Mailing Address - Fax:
Practice Address - Street 1:528 W NORWOOD ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MO
Practice Address - Zip Code:65717-9168
Practice Address - Country:US
Practice Address - Phone:417-746-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children