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Organization

ALENA SANCHEZ ROMAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALENA ROMAN (OWNER)
(208) 404-7641
Entity
Organization

Contact information

Practice address
715 N BUCHANAN ST, JEROME, ID 83338-1931
(208) 404-7641
Mailing address
715 N BUCHANAN ST, JEROME, ID 83338-1931
(208) 404-7641

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
06/03/2026
Last updated
06/09/2026
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