Khiale Harvard

NPI #1558633354 in Nampa, Idaho

Provider Information

NPI Number: 1558633354
Entity Type: Organization
Organization Name: Khiale Harvard
Primary Specialty: Case Management
Enumeration Date: Feb 8, 2012
Last Updated: Feb 8, 2012

Practice Location

Address: 811 12TH AVE S # 2
City: Nampa
State: Idaho
ZIP Code: 83651-4656
Phone: (208) 571-4018

Authorized Official

Name: KHIALE HARVARD
Title: OWNER
Phone: (208) 571-4018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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