NPI 1194115378

Case Managers of Idaho, LLC

Organisation Case Management Agency Boise, ID

Practice location

Address: 1111 S Orchard St Suite #157, Boise, ID 83705-1966
Phone: (208) 982-7701
Fax: (208) 209-7186

Authorised official

Name: Patrick Timothy Kirk
Title: President
Phone: (208) 982-7701

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1194115378
Entity type: Organization
NPI issued: 27 Jan 2015
Record last updated: 12 Feb 2016

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.