Idaho Dept of Health & Welfare Esc Region 6

NPI #1457494627 in Pocatello, Idaho

Provider Information

NPI Number: 1457494627
Entity Type: Organization
Organization Name: Idaho Dept of Health & Welfare Esc Region 6
Primary Specialty: Case Management
Enumeration Date: Feb 15, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 421 MEMORIAL DR
City: Pocatello
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	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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