Organization
CASSIA JOINT SCHOOL DISTRICT #151
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE ANN BYLUND (MEDICAID SECRETARY)
(208) 878-6627
Entity
Organization
Contact information
Practice address
237 E 19TH ST, BURLEY, ID 83318-2444
(208) 878-6627
(208) 878-3395
Mailing address
237 E 19TH ST, BURLEY, ID 83318-2444
(208) 878-6627
(208) 878-3395
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
208D00000X
ID
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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