Provider Demographics
NPI:1700095569
Name:SHELTERHOUSE VOLUNTEER GROUP
Entity Type:Organization
Organization Name:SHELTERHOUSE VOLUNTEER GROUP
Other - Org Name:DROP INN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-721-0643
Mailing Address - Street 1:411 GEST STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45203
Mailing Address - Country:US
Mailing Address - Phone:513-721-0643
Mailing Address - Fax:513-455-5045
Practice Address - Street 1:411 GEST STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45203
Practice Address - Country:US
Practice Address - Phone:513-721-0643
Practice Address - Fax:513-455-5045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH01269Medicare UPIN