| Lds Family Services Id Rexburg | |
|
631 N 200 E Rexburg ID 83440-3599 | |
| (208) 356-6975 | |
| Not Available |
| Full Name | Lds Family Services Id Rexburg |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 631 N 200 E, Rexburg, Idaho |
| Authorized Official Name and Position | Claigh Jensen (DIRECTOR) |
| Authorized Official Contact | 2085295276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Id Rexburg 631 N 200 E Rexburg ID 83440-3599 Ph: (208) 356-6975 | Lds Family Services Id Rexburg 631 N 200 E Rexburg ID 83440-3599 Ph: (208) 356-6975 |
| NPI Number | 1871700534 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 10/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871700534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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