# FAMILY HEALTH SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Services - Diabetic Education
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710765383
- **Authorized official:** STACEY BLACKWOOD (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (208) 737-6718

## Contact information

- **Practice address:** 218 W NEZ PERCE, JEROME, ID 83338-5077
- **Practice address phone:** (208) 324-3471
- **Practice address fax:** (208) 324-9191
- **Mailing address:** 794 EASTLAND DR, TWIN FALLS, ID 83301-6856
- **Mailing address phone:** (208) 734-3312
- **Mailing address fax:** (208) 734-5036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |
| 163WD0400X | Diabetes Educator Registered Nurse | — | NULL | — |
| 163WD0400X | Diabetes Educator Registered Nurse | — | — | — |

## Other

- **Enumeration date:** 09/15/2023
- **Last updated:** 10/11/2023