Dme Health Management Group Llc

NPI 1073661328 - Counselor - 101Y00000X

NPI Details
NPI 1073661328
Enumeration Date 01/05/2007
Last Updated 09/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK MARK
Position MAJORITY MEMBER
Phone (208) 734-7730
Fax (208) 735-8176
Practice Location
460 MAIN AVE SOUTH
SUITE C
TWIN FALLS ID, 83301, US
Phone (208) 734-7730
Fax (208) 735-8176
Business Location
P.O. BOX 1641
460 MAIN AVE. SOUTH SUITE C
TWIN FALLS ID, 83301, US
Phone (208) 734-7730
Fax (208) 735-8176
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
Remove 1073661328 NPI Number
 

According to our database, Dme Health Management Group Llc NPI is 1073661328, taxonomy code is 101Y00000X Dme Health Management Group Llc physically located at 460 Main Ave South, Twin Falls ID, 83301. NPI Number 1033115704 has the healthcare provider type.

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1073661328 NPI number is provided on an as is basis without warranty of any kind. 1073661328 is maintained by the National Plan & Provider Enumeration System. The contents of Dme Health Management Group Llc are for informational purposes only.