Organization
ADVANCED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE PYROR (OWNER)
(208) 461-0438
Entity
Organization
Contact information
Practice address
210 HOLLY ST, NAMPA, ID 83686-5104
(208) 461-0438
(208) 461-0446
Mailing address
210 HOLLY ST, NAMPA, ID 83686-5104
(208) 461-0438
(208) 461-0446
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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