Organization
SOUTHEAST IDAHO COUNCIL OF GOVERNMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER ANTHONY MARIE GREVING (AAA DIRECTOR)
(208) 233-4032
Entity
Organization
Contact information
Practice address
214 E CENTER ST, POCATELLO, ID 83201-6372
(208) 233-4032
(208) 233-5232
Mailing address
PO BOX 6079, POCATELLO, ID 83205-6079
(208) 233-4032
(208) 233-5232
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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