Hisway, Llc

NPI 1437208899 - Point of Service - 305S00000X

NPI Details
NPI 1437208899
Enumeration Date 01/08/2007
Last Updated 01/19/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELLEN ELLEN
Position ADMINISTRATOR
Phone (208) 860-7124
Fax (208) 322-0262
Practice Location
348 N ORCHARD ST
BOISE ID, 83706-1627, US
Phone (208) 860-7124
Fax (208) 322-0262
Business Location
348 N ORCHARD ST
BOISE ID, 83706-1627, US
Phone (208) 860-7124
Fax (208) 322-0262
Toxanomy
Taxonomy Code 305S00000X
License State Idaho
License Number LCSW-24969
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According to our database, Hisway, Llc NPI is 1437208899, taxonomy code is 305S00000X and license number is LCSW-24969, license state is located at Idaho. Hisway, Llc physically located at 348 N Orchard St, Boise ID, 83706-1627. NPI Number 1033115704 has the healthcare provider type.

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1437208899 NPI number is provided on an as is basis without warranty of any kind. 1437208899 is maintained by the National Plan & Provider Enumeration System. The contents of Hisway, Llc are for informational purposes only.