Snake River Community Supported Living

LBN: Snake River Community Supported Living
Snake River Community Supported Living is an health care organization with primary practice located at 557 S Woodruff Ave , Idaho Falls ID 83401-5200. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Snake River Community Supported Living can be contacted via phone (208) 542-4517, or through Hansen, Kathleen Ann via phone (208) 542-4517.

Contact Information

Primary practice address
557 S Woodruff Ave Idaho Falls ID 83401-5200
Phone: (208) 542-4517
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Kathleen Ann
Phone: (208) 542-4517

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1851706626
LBN Legal business name Snake River Community Supported Living
DBA Doing business as
Authorized official Hansen, Kathleen Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2014
Last updated Jun 30th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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