Provider Demographics
NPI:1275669087
Name:W.V.H.H.S., INC.
Entity Type:Organization
Organization Name:W.V.H.H.S., INC.
Other - Org Name:WICHITA VALLEY HOME HEALTH SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WHATLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:940-887-9198
Mailing Address - Street 1:710 S COLORADO ST
Mailing Address - Street 2:
Mailing Address - City:IOWA PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76367-2512
Mailing Address - Country:US
Mailing Address - Phone:940-887-9198
Mailing Address - Fax:
Practice Address - Street 1:710 S COLORADO ST
Practice Address - Street 2:
Practice Address - City:IOWA PARK
Practice Address - State:TX
Practice Address - Zip Code:76367-2512
Practice Address - Country:US
Practice Address - Phone:940-887-9198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health