| Expressions Supportive Services, Llc | |
|
343 East 4th North Suite 121 Rexburg ID 83440 | |
| (208) 339-7710 | |
| Not Available |
| Full Name | Expressions Supportive Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 343 East 4th North, Rexburg, Idaho |
| Authorized Official Name and Position | June Ellen Nelson-cox (PARTNER/ADMINSTRATION) |
| Authorized Official Contact | 2083398437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expressions Supportive Services, Llc P. O. Box 283 Saint Anthony ID 83445 Ph: (208) 339-8437 | Expressions Supportive Services, Llc 343 East 4th North Suite 121 Rexburg ID 83440 Ph: (208) 339-7710 |
| NPI Number | 1427290881 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427290881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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