Jay Smack
Jay Smack is a Case Management Agency in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2025
Practice location Address checks out
3663 N Lakeharbor LnBoise, ID 83703-6913
Phone: (208) 522-6155
Fax: (208) 286-4292
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Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X (ID) |
|---|
Record details
| NPI number | 1568338846 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 14, 2025 |
| Last updated in NPPES | October 14, 2025 |
| Certification date | October 14, 2025 |
| Mailing address | 3663 N Lakeharbor Ln, Boise, ID 83703-6913 |
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