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1881720209
IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH PSR IF
IDAHO FALLS, ID
NPI
1881720209
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Entity Type
Organization
Authorized Contact
MELISSA M BEAN
Program Manager
208-528-5706
Organization Subpart ?
No
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
Enumeration Date
2007-02-27
Last Update Date
2020-08-22
Business Address
IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH PSR IF
150 SHOUP AVE SUITE 17
IDAHO FALLS, ID 83402-3657
Phone number: 208-528-5700
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Mailing Address
IDAHO DEPT OF HEALTH & WELFARE REGION 7 CMH PSR IF
150 SHOUP AVE SUITE 17
IDAHO FALLS, ID 83402-3657
Phone number: 208-528-5700
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