Organization
TETON SERVICE COORDINATION LLC
Active
Other names
Teton Service Coordination LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JODI COPELAND (OWNER/ADMINISTRATOR)
(986) 217-4584
Entity
Organization
Contact information
Practice address
1036 E IRON EAGLE DR STE 166, EAGLE, ID 83616-2413
(986) 217-4584
Mailing address
1036 E IRON EAGLE DR STE 166, EAGLE, ID 83616-2413
(986) 217-4584
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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