Organization
ADVANCED ILLNESS MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY DEAN (EXECUTIVE DIRECTOR)
(208) 484-0934
Entity
Organization
Contact information
Practice address
4273 E SPEARFISH DR, MERIDIAN, ID 83646-6349
(208) 484-0934
Mailing address
4273 E SPEARFISH DR, MERIDIAN, ID 83646-6349
(208) 484-0934
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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