Healthcare Provider Details
I. General information
NPI: 1023135258
Provider Name (Legal Business Name): TRI-VALLEY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2007
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10 MILL STREET
DUDLEY MA
01571-3377
US
IV. Provider business mailing address
10 MILL ST
DUDLEY MA
01571-3377
US
V. Phone/Fax
- Phone: 508-949-6640
- Fax: 508-949-6651
- Phone: 508-949-6640
- Fax: 508-949-6651
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174200000X |
| Taxonomy | Meals Provider |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELISABETH
M
PRINCE
Title or Position: CEO
Credential: L.S.W.
Phone: 508-949-6640