# NEUROPATHY CLINIC L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366648487
- **Authorized official:** MRS. MARIANNE ALICE HULL REGISTERED NURSE (DIRECTOR)
- **Authorized official phone:** (208) 682-2547

## Contact information

- **Practice address:** 401 7TH ST, WALLACE, ID 83873-2335
- **Practice address phone:** (208) 752-1019
- **Practice address fax:** (208) 752-1063
- **Mailing address:** 214 CYPRESS ST, WALLACE, ID 83873-2122
- **Mailing address phone:** (208) 682-2547
- **Mailing address fax:** (208) 752-1063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | N6485 | HI | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 08/22/2020