Idaho Department of Health and Welfare Esc Region III

NPI #1821220237 in Nampa, Idaho

Provider Information

NPI Number: 1821220237
Entity Type: Organization
Organization Name: Idaho Department of Health and Welfare Esc Region III
Primary Specialty: Case Management
Enumeration Date: Aug 18, 2009
Last Updated: Aug 18, 2009

Practice Location

Address: 823 PARKCENTRE WAY
City: Nampa
State: Idaho
ZIP Code: 83651-1783
Phone: (208) 455-7026

Authorized Official

Name: MR. JEREMY EDMOND PLAYER, BSW, MS
Title: PROGRAM MANAGER
Phone: (208) 455-7026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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