Providence Professional Services, LLC
NPI #1851439095 in Garden City, Kansas
Provider Information
- NPI Number
- 1851439095
- Entity Type
- Organization
- Organization Name
- Providence Professional Services, LLC
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 302 FLEMING ST
- Address 2
- SUITE #8
- City
- Garden City
- State
- Kansas
- ZIP Code
- 67846-6162
- Phone
- (620) 275-7100
Authorized Official
- Name
- SANDRA FINE
- Title
- OWNER
- Phone
- (620) 275-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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