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1760513618
IDAHO DEPT OF HEALTH & WELFARE REG 6 CM
POCATELLO, ID
NPI
1760513618
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Entity Type
Organization
Authorized Contact
ED AXFORD
Program Manager
208-234-7900
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2007-03-09
Last Update Date
2020-08-22
Business Address
IDAHO DEPT OF HEALTH & WELFARE REG 6 CM
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7900
Copy
Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REG 6 CM
421 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-7900
Copy
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