Organization
LEMHI VALLEY SOCIAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SMITH (OWNER)
(208) 524-5607
Entity
Organization
Contact information
Practice address
1211 MAIN ST, SUITE 2, SALMON, ID 83467-4303
(208) 756-2927
(208) 756-1518
Mailing address
1380 BENTON ST, IDAHO FALLS, ID 83401-4254
(208) 523-2490
(208) 522-2603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804145700
—
ID
Enumeration date
03/16/2007
Last updated
08/09/2013
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