NPI 1073661328
Dme Health Management Group LLC
Practice location
- Address
- 460 Main Ave South Suite C, Twin Falls, ID 83301
- Phone
- (208) 734-7730
- Fax
- (208) 735-8176
- Mailing address
- P.O. Box 1641 460 Main Ave. South Suite C, Twin Falls, ID 83301
Authorised official
- Name
- Mark Moreno
- Title
- Majority Member
- Phone
- (208) 734-7730
Registered specialties (2)
Case Management Agency
Primary
Counselor
Registry record
- NPI
- 1073661328
- Entity type
- Organization
- NPI issued
- 5 Jan 2007
- Record last updated
- 16 Sep 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.