IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR POC

POCATELLO, ID
NPI1225169139
Entity TypeOrganization
Authorized ContactED AXFORD
Program Manager
208-234-7900
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2007-03-09
Last Update Date2020-08-22
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR POC
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7900
Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR POC
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7900
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