IDAHO DEPT OF HEALTH & WELFARE REG II CMH MOSCOW

MOSCOW, ID
NPI1720116551
Entity TypeOrganization
Authorized ContactVICKI R. MALONE
Program Manager
208-799-4440
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
Enumeration Date2007-03-01
Last Update Date2020-08-22
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG II CMH MOSCOW
1350 TROY HWY
MOSCOW, ID 83543-3995
Phone number: 208-882-0562
Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG II CMH MOSCOW
1350 TROY HWY
MOSCOW, ID 83543-3995
Phone number: 208-882-0562
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