Organization
FAMILY CARE CLINIC, LLC
Active
Parent organization
ALL HORIZONS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALL HORIZONS, INC
Authorized official
LAURIE MILLER (OFFICE MANAGER)
(208) 321-0634
Entity
Organization
Contact information
Practice address
8050 W RIFLEMAN ST STE 100, BOISE, ID 83704-9006
(208) 321-0634
(208) 321-1082
Mailing address
8050 W RIFLEMAN ST STE 100, BOISE, ID 83704-9006
(208) 321-0634
(208) 321-1082
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265565477
—
ID
Enumeration date
08/05/2013
Last updated
08/05/2013
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