| Providence Human Services Of Wa | |
|
1700 E Schneidmiller Ave Post Falls ID 83854-7085 | |
| (208) 619-0190 | |
| (208) 619-0195 |
| Full Name | Providence Human Services Of Wa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1700 E Schneidmiller Ave, Post Falls, Idaho |
| Authorized Official Name and Position | Amika Dupree (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2086190190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Human Services Of Wa 1700 E Schneidmiller Ave Post Falls ID 83854-7085 Ph: (208) 619-0190 | Providence Human Services Of Wa 1700 E Schneidmiller Ave Post Falls ID 83854-7085 Ph: (208) 619-0190 |
| NPI Number | 1114336237 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114336237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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