Pro Active Advantage, Llc

NPI 1073634713 - Counselor - 101YM0800X

NPI Details
NPI 1073634713
Enumeration Date 04/02/2007
Last Updated 02/16/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRANK J. FRANK
Position CEO
Phone (208) 878-3423
Fax (208) 878-3424
Practice Location
2223 OVERLAND AVE
BURLEY ID, 83318-2929, US
Phone (208) 878-3423
Fax (208) 878-3424
Business Location
215 UNIVERSITY DR
GOODING ID, 83330-6155, US
Phone (208) 934-5880
Fax (208) 934-5876
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Pro Active Advantage, Llc NPI is 1073634713, taxonomy code is 101YM0800X Pro Active Advantage, Llc physically located at 2223 Overland Ave, Burley ID, 83318-2929. NPI Number 1033115704 has the healthcare provider type.

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1073634713 NPI number is provided on an as is basis without warranty of any kind. 1073634713 is maintained by the National Plan & Provider Enumeration System. The contents of Pro Active Advantage, Llc are for informational purposes only.