Organization
NETWORK FOR INDEPENDENCE 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAMA HOWARD MAML, SC (OWNER/MANAGING MEMBER)
(208) 705-6921
Entity
Organization
Contact information
Practice address
503 W PINE ST, POCATELLO, ID 83201-5011
(208) 705-6921
Mailing address
503 W PINE ST, POCATELLO, ID 83201-5011
(208) 705-6921
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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