Provider Demographics
NPI:1821349705
Name:THE BABY FOLD, INC.
Entity Type:Organization
Organization Name:THE BABY FOLD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRASSHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-454-1770
Mailing Address - Street 1:5520 SOUTH SIXTH ST. FRONTAGE ROAD
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62703-5759
Mailing Address - Country:US
Mailing Address - Phone:309-454-1770
Mailing Address - Fax:309-454-9257
Practice Address - Street 1:5520 SOUTH SIXTH ST. FRONTAGE ROAD
Practice Address - Street 2:SUITE 2200
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62703-5759
Practice Address - Country:US
Practice Address - Phone:309-454-1770
Practice Address - Fax:309-454-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL020329-12253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency