Provider Demographics
NPI:1497927677
Name:VALLEY PACKAGING INDUSTRIES, INC.
Entity type:Organization
Organization Name:VALLEY PACKAGING INDUSTRIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HEIN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:920-740-9536
Mailing Address - Street 1:2350 N CASALOMA DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-8215
Mailing Address - Country:US
Mailing Address - Phone:920-997-1484
Mailing Address - Fax:920-997-1488
Practice Address - Street 1:2350 N CASALOMA DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-8215
Practice Address - Country:US
Practice Address - Phone:920-997-1484
Practice Address - Fax:920-997-1488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42772400Medicaid
WI100082083Medicaid
WI41217600Medicaid
WI42788200Medicaid
WI40253100Medicaid
WI100223415Medicaid
WI100172668Medicaid
WI40384200Medicaid
WI100079476Medicaid
WI100230469Medicaid
WI100236850Medicaid
WI40233600Medicaid