Organization
ASPEN RIDGE SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ANNE LOGAN (OWNER)
(208) 901-2891
Entity
Organization
Contact information
Practice address
1522 MICHAEL ST, EMMETT, ID 83617-9442
(208) 901-2891
(208) 365-4205
Mailing address
1522 MICHAEL ST, EMMETT, ID 83617-9442
(208) 901-2891
(208) 365-4205
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
N-27523
ID
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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