Organization
HALO HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FARHIA DIRANE MOHAMED (CEO)
(206) 643-9484
Entity
Organization
Contact information
Practice address
1111 S ORCHARD ST, BOISE, ID 83705, BOISE, ID 83705
(206) 643-9484
Mailing address
1111 S ORCHARD ST STE 152, BOISE, ID 83705-1963
(206) 643-9484
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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