Organization
IVONY CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHIALE HARVARD (OWNER)
(208) 571-4018
Entity
Organization
Contact information
Practice address
811 12TH STREET, STE. 2, NAMPA, ID 83687
(208) 571-4018
Mailing address
12384 S ABBOTT DOWNING WAY, NAMPA, ID 83686-5693
(208) 571-4018
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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