Organization
SNAKE RIVER HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SLOAN N SWENDSEN (OWNER)
(208) 313-7721
Entity
Organization
Contact information
Practice address
2088 E 25TH ST, IDAHO FALLS, ID 83404-6490
(208) 313-7721
Mailing address
2088 E 25TH ST, IDAHO FALLS, ID 83404-6490
(208) 313-7721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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