Provider Demographics
NPI:1689973489
Name:SHEN-PACO INDUSTRIES, INC.
Entity Type:Organization
Organization Name:SHEN-PACO INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:STROOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-477-2049
Mailing Address - Street 1:1032 WISSLER RD
Mailing Address - Street 2:
Mailing Address - City:QUICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22847-1304
Mailing Address - Country:US
Mailing Address - Phone:540-477-2049
Mailing Address - Fax:540-477-9759
Practice Address - Street 1:1032 WISSLER RD
Practice Address - Street 2:
Practice Address - City:QUICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22847-1304
Practice Address - Country:US
Practice Address - Phone:540-477-2049
Practice Address - Fax:540-477-9759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0049457275251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services