Organization
ELKS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WELSH (ENROLMENT SPEACIALIST)
(208) 489-4635
Entity
Organization
Contact information
Practice address
405 W MYRTLE ST, BOISE, ID 83702-7658
(208) 489-5880
Mailing address
405 W MYRTLE ST, BOISE, ID 83702-7658
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
908
ID
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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