Organization
CASE MANAGERS OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK TIMOTHY KIRK B.A. (PRESIDENT)
(208) 982-7701
Entity
Organization
Contact information
Practice address
1111 S ORCHARD ST, SUITE #157, BOISE, ID 83705-1966
(208) 982-7701
(208) 209-7186
Mailing address
1111 S ORCHARD ST, SUITE #157, BOISE, ID 83705-1966
(208) 982-7701
(208) 209-7186
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
Other
Enumeration date
01/27/2015
Last updated
02/12/2016
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