Scottish Rite Foundation of Idaho

NPI #1902098833 in Twin Falls, Idaho

Provider Information

NPI Number
1902098833
Entity Type
Organization
Organization Name
Scottish Rite Foundation of Idaho
Primary Specialty
Case Management
Enumeration Date
Aug 14, 2007
Last Updated
Aug 14, 2007

Practice Location

Address
564 SHOUP AVE W
State
Idaho
ZIP Code
83301-5029
Phone
(208) 734-3914

Authorized Official

Name
MRS. MELODY ALLEN LENKNER, M.A. CCC-SLP
Title
DIRECTOR
Phone
(208) 734-3914

Specialties & Taxonomy Codes

Specialty
Case Management

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