Provider Demographics
NPI:1013702596
Name:VALLEY SENIOR SERVICES
Entity type:Organization
Organization Name:VALLEY SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:GRINDELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-293-1440
Mailing Address - Street 1:2801 32ND AVE S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-6176
Mailing Address - Country:US
Mailing Address - Phone:701-293-1440
Mailing Address - Fax:701-241-9639
Practice Address - Street 1:2801 32ND AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6176
Practice Address - Country:US
Practice Address - Phone:701-293-1440
Practice Address - Fax:701-241-9639
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARK DISTRICT OF THE CITY OF FARGO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care