Network for Independence 2, LLC

NPI #1124469515 in Pocatello, Idaho

Provider Information

NPI Number: 1124469515
Entity Type: Organization
Organization Name: Network for Independence 2, LLC
Primary Specialty: Case Management
Enumeration Date: Jul 12, 2013
Last Updated: Jul 12, 2013

Practice Location

Address: 503 W PINE ST
City: Pocatello
State: Idaho
ZIP Code: 83201-5011
Phone: (208) 705-6921

Authorized Official

Name: MARAMA HOWARD, MAML, SC
Title: OWNER/MANAGING MEMBER
Phone: (208) 705-6921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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