Dme Health Management Group LLC
NPI #1073661328 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1073661328
- Entity Type
- Organization
- Organization Name
- Dme Health Management Group LLC
- Primary Specialty
- Case Management
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Sep 16, 2008
Practice Location
- Address
- 460 MAIN AVE SOUTH
- Address 2
- SUITE C
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301
- Phone
- (208) 734-7730
Authorized Official
- Name
- MR. MARK MORENO
- Title
- MAJORITY MEMBER
- Phone
- (208) 734-7730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Case Management |
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| Provider Name | |
|---|---|
| Jeremy Ajeti, BS | |
| MRS. Suzanne Ruth Auth |
Organizations
| Provider Name | |
|---|---|
| Weaver LLC | |
| Western Connections | |
| Idaho Dept of Health & Welfare Esc Region 5 |
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