Provider Demographics
NPI:1831592542
Name:VASS VOCATIONAL SERVICES, IN.
Entity type:Organization
Organization Name:VASS VOCATIONAL SERVICES, IN.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:VASS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:304-872-0858
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:MOUNT LOOKOUT
Mailing Address - State:WV
Mailing Address - Zip Code:26678-0250
Mailing Address - Country:US
Mailing Address - Phone:304-872-0858
Mailing Address - Fax:304-872-4813
Practice Address - Street 1:304 BIBB LANE
Practice Address - Street 2:
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651
Practice Address - Country:US
Practice Address - Phone:304-872-0858
Practice Address - Fax:304-872-4813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty