Organization · NPI-2

Advocare Services

Case Management · Boise, ID

NPI number1740526227
StatusActive
Last updated in NPPESJan 2, 2013

Details

NPI
1740526227
Entity type
Organization (NPI-2)
Legal business name
Advocare Services
Organization subpart
No
Enumeration date
Jan 2, 2013
Last updated
Jan 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

1991 S Doe Creek Way
Boise, ID 83709-8518

Phone 208-375-8917 · Fax 208-375-8917

Mailing address

1991 S Doe Creek Way
Boise, ID 83709-8518

Authorized official

Todd William Carruthers
Owner
2083758917

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