NPI 1568804417

Panhandle Support Services, LLC

Organisation Case Management Agency Sandpoint, ID

Practice location

Address: 514 N 4th Ave, Sandpoint, ID 83864-1513
Phone: (208) 304-4019
Fax: (208) 620-3054
Mailing address: PO Box 2337, Sandpoint, ID 83864-0911

Authorised official

Name: Chris Olson
Title: Owner
Phone: (208) 610-5223

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence LMSW-32400 (ID)

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Registry record

NPI: 1568804417
Entity type: Organization
NPI issued: 20 Jul 2013
Record last updated: 1 Aug 2013

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.