Idaho Dept of Health & Welfare Reg II Amh Cmog
Idaho Dept of Health & Welfare Reg II Amh Cmog is a Case Management Agency in Lewiston, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1118 F St Drawer BLewiston, ID 83501-1930
Phone: (208) 799-4440
Fax: (208) 799-5171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|
Record details
| NPI number | 1083742985 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vicki Malone — Program Manager · (208) 799-4440 |
| NPI enumerated | March 1, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1118 F St, Drawer B, Lewiston, ID 83501-1930 |
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