NPI 1083742985

Idaho Dept of Health & Welfare Reg II Amh Cmog

Organisation Case Management Agency Lewiston, ID

Practice location

Address: 1118 F St Drawer B, Lewiston, ID 83501-1930
Phone: (208) 799-4440
Fax: (208) 799-5171

Authorised official

Name: Vicki R. Malone
Title: Program Manager
Phone: (208) 799-4440

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Idaho →

Registry record

NPI: 1083742985
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 22 Aug 2020

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.