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Organization

FAMILY CARE CENTER

Active
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Organization

FAMILY CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THANA SINGARAJAH LPCP-69 (EXECUTIVE DIRECTOR)
(208) 529-8832
Entity
Organization

Contact information

Practice address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Mailing address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
ID

Other

Enumeration date
06/28/2007
Last updated
08/22/2020
About Stedi
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