Organization
SCOTTISH RITE FOUNDATION OF IDAHO
Active
Other names
Southern Idaho Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODY ALLEN LENKNER M.A. CCC-SLP (DIRECTOR)
(208) 734-3914
Entity
Organization
Contact information
Practice address
564 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 734-3914
(208) 734-3957
Mailing address
564 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 734-3914
(208) 734-3957
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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