Organization
ADVANTAGE LLC
Active
Other names
Advantage Service Coordination
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN CARRUTHERS (OWNER)
(208) 375-8917
Entity
Organization
Contact information
Practice address
1991 S DOE CREEK WAY, BOISE, ID 83709-8518
(208) 375-8917
(208) 375-8917
Mailing address
1991 S DOE CREEK WAY, BOISE, ID 83709-8518
(208) 375-8917
(208) 375-8917
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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