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Organization

COMMUNITY CONNECTIONS SOUTH CENTRAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIFFANI SNELLING (PRESIDENT)
(208) 377-9814
Entity
Organization

Contact information

Practice address
212 2ND AVE W, #102 & 104, TWIN FALLS, ID 83301-6016
(208) 733-0655
(208) 733-1389
Mailing address
1675 S MAPLE GROVE RD, BOISE, ID 83709-2531
(208) 377-9814
(208) 375-5803

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
04/28/2015
Last updated
04/28/2015
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