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Organization
MJ SOCIAL SERVICES INC
Active
Organization
MJ SOCIAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN JONES (OWNER)
(208) 365-3183
Entity
Organization
Contact information
Practice address
2328 MOUNTAIN VIEW DR, BOX 130, EMMETT, ID 83617-9533
(208) 365-3183
(208) 365-2307
Mailing address
PO BOX 130, 2328 MOUNTAIN VIEW DR, EMMETT, ID 83617-0130
(208) 365-3183
(208) 365-2307
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
C148733
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002748400
—
ID
Enumeration date
06/23/2010
Last updated
06/23/2010
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