Providence Professional Services, INC.
Case Management in Garden City, KS. Organization (NPI-2).
NPI number1801123781
StatusActive
Last updated in NPPESNov 12, 2009
Details
- NPI
- 1801123781
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Professional Services, INC.
- Organization subpart
- No
- Enumeration date
- Nov 12, 2009
- Last updated
- Nov 12, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | – | – | Yes |
Practice location
302 Fleming StSuite # 8
Garden City, KS 67846-5972
Phone 620-275-7100 · Fax 620-275-7116
Mailing address
302 Fleming StSuite # 8
Garden City, KS 67846-5972
Phone 620-275-7100 · Fax 620-275-7116
Authorized official
Sandra S Fine
President
6202757100
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