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Dme Health Management Group LLC

Case Management in Twin Falls, ID. Organization (NPI-2).

NPI number1073661328
StatusActive
Last updated in NPPESSep 16, 2008

Details

NPI
1073661328
Entity type
Organization (NPI-2)
Legal business name
Dme Health Management Group LLC
Organization subpart
No
Enumeration date
Jan 5, 2007
Last updated
Sep 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes
101Y00000X Counselor––

Other names

  • Liberty Care Services (Doing Business As)

Practice location

460 Main Ave South
Suite C
Twin Falls, ID 83301

Phone 208-734-7730 · Fax 208-735-8176

Mailing address

P.O. Box 1641
460 Main Ave. South Suite C
Twin Falls, ID 83301

Phone 208-734-7730 · Fax 208-735-8176

Authorized official

Mark Moreno
Majority Member
2087347730

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