Organization
COORDINATED SERVICES OF IDAHO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESSANDRA BERTOZZI BILLINGSLEA M.ED. (QWNER)
(208) 660-9534
Entity
Organization
Contact information
Practice address
1111 E SHERMAN AVE, COEUR D ALENE, ID 83814-4154
(208) 660-9534
(208) 665-5795
Mailing address
301 S WIDE RIVER RD, POST FALLS, ID 83854-7011
(208) 660-9534
(208) 665-5795
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
342000000X
Transportation Network Company
—
—
Other
Enumeration date
08/15/2012
Last updated
01/13/2026
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