Organization
NETWORK FOR INDEPENDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E. MEADS (MANAGER)
(208) 221-4907
Entity
Organization
Contact information
Practice address
450 S 2ND E, SODA SPRINGS, ID 83276-1671
(208) 221-4907
(208) 547-4907
Mailing address
450 S 2ND E, SODA SPRINGS, ID 83276-1671
(208) 221-4907
(208) 547-4907
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050064
—
ID
05
—
8050486
—
ID
Enumeration date
04/26/2007
Last updated
08/22/2020
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