Organization
TRI-VALLEY DEVELOPMENTAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL FISCUS (ADMINISTRATIVE 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
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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