Organization
EXPRESSIONS SUPPORTIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE ELLEN NELSON-COX (PARTNER/ADMINSTRATION)
(208) 339-8437
Entity
Organization
Contact information
Practice address
343 EAST 4TH NORTH, SUITE 121, REXBURG, ID 83440
(208) 339-7710
Mailing address
P. O. BOX 283, SAINT ANTHONY, ID 83445
(208) 339-8437
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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