Organization
INNOVATIVE HEALTH CARE CONCEPTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SMITH (PROGRAM MANAGER)
(208) 523-1130
Entity
Organization
Contact information
Practice address
111 E 16TH ST, IDAHO FALLS, ID 83404-5919
(208) 523-1130
(208) 529-6501
Mailing address
520 HICKORY LN, IDAHO FALLS, ID 83402-4754
(208) 357-8780
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
202875
ID
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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