Organization
PROVIDENCE PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA FINE (OWNER)
(620) 275-7100
Entity
Organization
Contact information
Practice address
302 FLEMING ST, SUITE #8, GARDEN CITY, KS 67846-6162
(620) 275-7100
(620) 275-7116
Mailing address
302 FLEMING ST, SUITE #8, GARDEN CITY, KS 67846-6162
(620) 275-7100
(620) 275-7116
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KS
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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