Your Supportive Services, Llc

NPI 1316188964 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1316188964
Enumeration Date 03/11/2009
Last Updated 07/03/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JAMES LOUIS JAMES
Position PARTNER/ADMINISTRATOR
Phone (208) 339-4902
Fax
Practice Location
343 E 4TH N STE 121
REXBURG ID, 83440-6004, US
Phone (208) 339-4902
Fax
Business Location
PO BOX 341
343 E 4TH N SUITE 121
REXBURG ID, 83440-0341, US
Phone (208) 339-4902
Fax (208) 359-0082
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Your Supportive Services, Llc NPI is 1316188964, taxonomy code is 251S00000X Your Supportive Services, Llc physically located at 343 E 4th N Ste 121, Rexburg ID, 83440-6004. NPI Number 1033115704 has the healthcare provider type.

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1316188964 NPI number is provided on an as is basis without warranty of any kind. 1316188964 is maintained by the National Plan & Provider Enumeration System. The contents of Your Supportive Services, Llc are for informational purposes only.