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1851706626
SNAKE RIVER COMMUNITY SUPPORTED LIVING
IDAHO FALLS, ID
NPI
1851706626
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Entity Type
Organization
Authorized Contact
KATHLEEN ANN HANSEN
Owner/Administrator
208-542-4517
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
SNAKE RIVER COMMUNITY SUPPORTED LIVING
557 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5200
Phone number: 208-542-4517
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Mailing Address
SNAKE RIVER COMMUNITY SUPPORTED LIVING
557 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5200
Phone number: 208-542-4517
Copy
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