Organization
A&R CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE ANDERSON (ADMINISTRATOR)
(208) 463-9313
Entity
Organization
Contact information
Practice address
210 HOLLY ST, NAMPA, ID 83686-5104
(208) 463-9313
(208) 442-0857
Mailing address
210 HOLLY ST, NAMPA, ID 83686-5104
(208) 463-9313
(208) 442-0857
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
3A&RCASE085
ID
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8084545
—
ID
Enumeration date
12/08/2006
Last updated
01/20/2010
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