Organization · NPI-2

Bonneville County

Case Management · Idaho Falls, ID

NPI number1891973392
StatusActive
Last updated in NPPESFeb 6, 2008

Details

NPI
1891973392
Entity type
Organization (NPI-2)
Legal business name
Bonneville County
Organization subpart
No
Enumeration date
Feb 6, 2008
Last updated
Feb 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case ManagementLCSW-24942IDYes

Practice location

445 N Capital Ave
Idaho Falls, ID 83402-3652

Phone 208-705-5071 · Fax 208-523-5974

Mailing address

605 N Capital Ave
Idaho Falls, ID 83402-3582

Phone 208-705-5071 · Fax 208-523-5974

Authorized official

Roger S Christensen
County Commissioner
2085291360

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