Affirmative Support Services & Coordination

NPI #1639367063 in Lewiston, Idaho

Provider Information

NPI Number
1639367063
Entity Type
Organization
Organization Name
Affirmative Support Services & Coordination
Primary Specialty
Case Management
Enumeration Date
Oct 10, 2007
Last Updated
Oct 10, 2007

Practice Location

Address
3629 18TH ST
State
Idaho
ZIP Code
83501-5972
Phone
(208) 743-1971

Authorized Official

Name
SHERRY LYNN GREENUP
Title
OWNER/ADMINISTRATOR
Phone
(208) 743-1971

Specialties & Taxonomy Codes

Specialty
Case Management

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