Organization
IDAHODHWBH3 CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD L HURT M.S. (FIELD OPERATIONS MANAGER)
(208) 455-7057
Entity
Organization
Contact information
Practice address
3402 FRANKLIN RD, CALDWELL, ID 83605-6932
(208) 459-0092
(208) 454-7714
Mailing address
3402 FRANKLIN RD, CALDWELL, ID 83605-6932
(208) 459-0092
(208) 454-7714
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028467
—
ID
Enumeration date
03/01/2007
Last updated
08/22/2020
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