Whalio Doctors

NPI 1508223900

Aspen Ridge Social Services

Organisation Case Management Agency Emmett, ID

Practice location

Address
1522 Michael St, Emmett, ID 83617-9442
Phone
(208) 901-2891
Fax
(208) 365-4205

Authorised official

Name
Jessica Anne Logan
Title
Owner
Phone
(208) 901-2891

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X Licence N-27523 (ID)

Registry record

NPI
1508223900
Entity type
Organization
NPI issued
15 Jan 2016
Record last updated
15 Jan 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.