Provider Demographics
NPI:1730713454
Name:WHOLE LIFE SERVICES, INC.
Entity type:Organization
Organization Name:WHOLE LIFE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-347-5595
Mailing Address - Street 1:1565 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-1824
Mailing Address - Country:US
Mailing Address - Phone:724-347-5595
Mailing Address - Fax:724-347-5596
Practice Address - Street 1:1565 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-1824
Practice Address - Country:US
Practice Address - Phone:724-347-5595
Practice Address - Fax:724-347-5596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-03
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No253Z00000XAgenciesIn Home Supportive Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities