Organization
TWIN VALLEY DEVELOPMENTAL SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR C. HENRY (CEO)
(785) 747-2251
Entity
Organization
Contact information
Practice address
413 COMMERCIAL ST., GREENLEAF, KS 66943
(785) 747-2251
(785) 747-2254
Mailing address
PO BOX 42, 413 COMMERCIAL ST., GREENLEAF, KS 66943
(785) 747-2251
(785) 747-2254
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
KS
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
KS
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
KS
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008280A
—
KS
05
—
100027240A
—
KS
Enumeration date
05/11/2007
Last updated
09/24/2013
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