Organization
ACCESSABILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY HYMAS LSW (ADMINISTRATOR)
(208) 359-0519
Entity
Organization
Contact information
Practice address
36 N 2ND W, SUITE B, REXBURG, ID 83440-1515
(208) 359-0519
(208) 359-2493
Mailing address
36 N 2ND W, SUITE B, REXBURG, ID 83440-1515
(208) 359-0519
(208) 359-2493
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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