Tri-Valley Developmental Services, Inc. in Chanute - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Tri-Valley Developmental Services, Inc. - NPI 1114072709
Tri-Valley Developmental Services, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Chanute, Kansas. Tri-Valley Developmental Services, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Tri-Valley Developmental Services, Inc. is 1114072709. The last update date is 2015-06-17.
Tri-Valley Developmental Services, Inc.'s current location address is 3740 S Santa Fe Ave, Chanute, Kansas. You can contact this provider via phone number 6204317401 and fax number 6204311409. The mailing address for Tri-Valley Developmental Services, Inc. is 3740 S Santa Fe Ave, Chanute, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-Valley Developmental Services, Inc. |
|---|---|
| Address | 3740 S Santa Fe Ave, Chanute, Kansas |
| Phone Number | 6204317401 |
| Fax Number | 6204311409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FINANCE DI |
|---|---|
| Authorized Official Name | Reddick Michelle |
| Telephone Number | 6204317401 |
NPI Number Detail
| NPI Number | 1114072709 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2015-06-17 |
Provider Mailing Address Detail
| Address | 3740 S Santa Fe Ave |
|---|---|
| City | Chanute |
| State | Kansas (KS) |
| Post Code | 667203247 |
| Phone Number | 6204317401 |
| Fax Number | 6204311409 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100041040A | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tri-Valley Developmental Services, Inc. by the Centers for Medicare & Medicaid Services?
The Tri-Valley Developmental Services, Inc. has been assigned the NPI (National Provider Identifier) 1114072709. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tri-Valley Developmental Services, Inc.?
The Tri-Valley Developmental Services, Inc. is situated at 3740 S Santa Fe Ave, in the city of Chanute, state of KS, with the zip code 667203247.
What is the Tri-Valley Developmental Services, Inc.'s area of specialization and corresponding taxonomy classification?
The Tri-Valley Developmental Services, Inc.'s specialty field is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1114072709 to Tri-Valley Developmental Services, Inc.?
The Tri-Valley Developmental Services, Inc. received its 1114072709 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the information regarding Tri-Valley Developmental Services, Inc. most recently updated?
The details pertaining to the Tri-Valley Developmental Services, Inc., including its address, specialty, and other relevant information, were last refreshed on 2015-06-17.
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