Idaho Dept of Health & Welfare Itp Region 6

NPI #1164563508 in Pocatello, Idaho

Provider Information

NPI Number
1164563508
Entity Type
Organization
Organization Name
Idaho Dept of Health & Welfare Itp Region 6
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Feb 9, 2007
Last Updated
Aug 5, 2013

Practice Location

Address
421 MEMORIAL DR
State
Idaho
ZIP Code
83201-4008
Phone
(208) 234-7900

Authorized Official

Name
MS. MARY J JONES, B.U.S.
Title
PROGRAM MANAGER
Phone
(208) 334-5523

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)
Early Intervention Provider Agency

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