| Halo Health Services Llc | |
|
1111 S Orchard St, Boise, Id 83705 Boise ID 83705 | |
| (206) 643-9484 | |
| Not Available |
| Full Name | Halo Health Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1111 S Orchard St, Boise, Id 83705, Boise, Idaho |
| Authorized Official Name and Position | Farhia Dirane Mohamed (CEO) |
| Authorized Official Contact | 2066439484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halo Health Services Llc 1111 S Orchard St Ste 152 Boise ID 83705-1963 Ph: (206) 643-9484 | Halo Health Services Llc 1111 S Orchard St, Boise, Id 83705 Boise ID 83705 Ph: (206) 643-9484 |
| NPI Number | 1053938779 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053938779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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