Organization
TRI-VALLEY DEVELOPMENTAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE REDDICK (FINANCE DIRECTOR)
(620) 431-7401
Entity
Organization
Contact information
Practice address
3740 S SANTA FE AVE, CHANUTE, KS 66720-3247
(620) 431-7401
(620) 431-1409
Mailing address
3740 S SANTA FE AVE, P.O. BOX 518, CHANUTE, KS 66720-3247
(620) 431-7401
(620) 431-1409
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041040A
—
KS
Enumeration date
01/24/2007
Last updated
06/17/2015
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