Organization
CEDAR HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN WERNER LEAP CNS, NPP (OWNER ADMINISTRATOR)
(208) 233-2998
Entity
Organization
Contact information
Practice address
427 N ARTHUR AVE, SUITE B, POCATELLO, ID 83204-3006
(208) 233-2998
(208) 232-0881
Mailing address
427 N ARTHUR AVE, SUITE B, POCATELLO, ID 83204-3006
(208) 233-2998
(208) 232-0881
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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