Organization
IDAHO DEPARTMENT OF HEALTH AND WELFARE ESC REGION III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY EDMOND PLAYER BSW, MS (PROGRAM MANAGER)
(208) 455-7026
Entity
Organization
Contact information
Practice address
823 PARKCENTRE WAY, NAMPA, ID 83651-1783
(208) 455-7026
Mailing address
823 PARKCENTRE WAY, NAMPA, ID 83651-1783
(208) 455-7026
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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