Idaho Dept of Health & Welfare Esc Region 2

NPI #1215079777 in Lewiston, Idaho

Provider Information

NPI Number
1215079777
Entity Type
Organization
Organization Name
Idaho Dept of Health & Welfare Esc Region 2
Primary Specialty
Case Management
Enumeration Date
Feb 13, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2604 16TH AVE
State
Idaho
ZIP Code
83501-3539
Phone
(208) 799-3460

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Case Management

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