Family Care Center

NPI 1003013640 - Case Management - 251B00000X

NPI Details
NPI 1003013640
Enumeration Date 06/28/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THANA THANA
Position EXECUTIVE DIRECTOR
Phone (208) 552-4958
Fax (208) 552-7704
Practice Location
1970 E 17TH ST STE 201
IDAHO FALLS ID, 83404-8048, US
Phone (208) 552-4958
Fax (208) 552-7704
Business Location
1740 E 17TH ST STE B
IDAHO FALLS ID, 83404-6375, US
Phone (208) 529-8832
Fax (208) 522-8725
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
Remove 1003013640 NPI Number
 

According to our database, Family Care Center NPI is 1003013640, taxonomy code is 251B00000X Family Care Center physically located at 1970 E 17th St Ste 201, Idaho Falls ID, 83404-8048. NPI Number 1033115704 has the healthcare provider type.

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1003013640 NPI number is provided on an as is basis without warranty of any kind. 1003013640 is maintained by the National Plan & Provider Enumeration System. The contents of Family Care Center are for informational purposes only.