Organization
SYRINGA FAMILY PARTNERSHIP, LLC
Active
Organization
SYRINGA FAMILY PARTNERSHIP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN IRENE SISK BSW (OWNER / DIRECTOR)
(208) 771-1551
Entity
Organization
Contact information
Practice address
3650 N GOVERNMENT WAY, SUITE L, COEUR D ALENE, ID 83815-8331
(208) 676-1693
(208) 676-1030
Mailing address
PO BOX 844, HAYDEN, ID 83835-0844
(208) 771-1551
(208) 676-1030
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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