Healthcare Provider Details

I. General information

NPI: 1629195094
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: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MILL ST
DUDLEY MA
01571-3377
US

IV. Provider business mailing address

10 MILL ST
DUDLEY MA
01571-3377
US

V. Phone/Fax

Practice location:
  • Phone: 508-949-6640
  • Fax: 508-949-6651
Mailing address:
  • Phone: 508-949-6640
  • Fax: 508-949-6651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MARILYN L TRAVINSKI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 508-949-6640