Provider Demographics
NPI:1477983252
Name:VALLEY SERVICES INC
Entity Type:Organization
Organization Name:VALLEY SERVICES INC
Other - Org Name:TRADITIONS MEAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-664-3100
Mailing Address - Street 1:PO BOX 5454
Mailing Address - Street 2:4400 MANGUM DRIVE
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39288-5454
Mailing Address - Country:US
Mailing Address - Phone:601-664-3100
Mailing Address - Fax:601-664-3356
Practice Address - Street 1:3210 HOLLYWOOD AVE STE B
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71108-3636
Practice Address - Country:US
Practice Address - Phone:318-636-1094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS332U00000X
AL332U00000X
OH332U00000X
MI332U00000X
TX332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals