Organization
PROVIDENCE PROFESSIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA S FINE (PRESIDENT)
(620) 275-7100
Entity
Organization
Contact information
Practice address
302 FLEMING ST, SUITE # 8, GARDEN CITY, KS 67846-5972
(620) 275-7100
(620) 275-7116
Mailing address
302 FLEMING ST, SUITE # 8, GARDEN CITY, KS 67846-5972
(620) 275-7100
(620) 275-7116
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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