Organization
ABILITIES SERVICE COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY EARL SMELCER (OWNER)
(208) 365-3183
Entity
Organization
Contact information
Practice address
2328 MOUNTAIN VIEW DR, EMMETT, ID 83617-9533
(208) 365-3183
(208) 365-2307
Mailing address
2328 MOUNTAIN VIEW DR, EMMETT, ID 83617-9533
(208) 365-3183
(208) 365-2307
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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