NPI age
19 years
Enumerated 2007-04-06
Across 303 active case management providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8068102 | |
| 05 (ID) | 8068389 |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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