Organization
PANHANDLE SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS OLSON (OWNER)
(208) 610-5223
Entity
Organization
Contact information
Practice address
514 N 4TH AVE, SANDPOINT, ID 83864-1513
(208) 304-4019
(208) 620-3054
Mailing address
PO BOX 2337, SANDPOINT, ID 83864-0911
(208) 610-5223
(208) 620-3054
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LMSW-32400
ID
Other
Enumeration date
07/20/2013
Last updated
08/01/2013
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