Organization
FAMILY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANA SINGARAJAH LPCP-69 (EXECUTIVE DIRECTOR)
(208) 529-8832
Entity
Organization
Contact information
Practice address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Mailing address
1740 E 17TH ST STE B, IDAHO FALLS, ID 83404-6375
(208) 529-8832
(208) 522-8725
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
ID
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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