NPI 1962658500

Syringa Family Partnership, LLC

Organisation Early Intervention Provider Agency Coeur D Alene, ID

Practice location

Address: 3650 N Government Way Suite L, Coeur D Alene, ID 83815-8331
Phone: (208) 676-1693
Fax: (208) 676-1030
Mailing address: PO Box 844, Hayden, ID 83835-0844

Authorised official

Name: Colleen Irene Sisk
Title: Owner / Director
Phone: (208) 771-1551

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Idaho →

Registry record

NPI: 1962658500
Entity type: Organization
NPI issued: 14 Aug 2008
Record last updated: 14 Aug 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.