Provider Demographics
NPI:1750419628
Name:VOICES FOR INDEPENDENCE
Entity type:Organization
Organization Name:VOICES FOR INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHONA
Authorized Official - Middle Name:CHARLENE
Authorized Official - Last Name:EAKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-874-0064
Mailing Address - Street 1:1432 WILKINS RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-1241
Mailing Address - Country:US
Mailing Address - Phone:814-874-0064
Mailing Address - Fax:814-874-3497
Practice Address - Street 1:1432 WILKINS RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-1241
Practice Address - Country:US
Practice Address - Phone:814-874-0064
Practice Address - Fax:814-874-3497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100680778Medicaid