IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEWISTON

LEWISTON, ID
NPI1073641262
Entity TypeOrganization
Authorized ContactVICKI R. MALONE
Program Manager
208-799-4440
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2007-03-01
Last Update Date2020-08-22
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEWISTON
1118 F ST
LEWISTON, ID 83501-1930
Phone number: 208-799-4440
Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG II AMH LEWISTON
1118 F ST DRAWER B
LEWISTON, ID 83501-1930
Phone number: 208-799-4440