COMMUNITY CARE CHANNING WAY LLC
Ambulatory Health at Channing Way, Idaho Falls, ID

License number
Idaho W 110635
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: EVELYN ROSSI VICE PRESIDENT
Title: PATIENT FINANCIAL SERVICES
Phone: (208) 557-2716
Address
Address
2725 Channing Way, Idaho Falls, ID 83404
National Provider ID: 1841564333
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COMMUNITY CARE CHANNING WAY LLC at bizstanding.com

COMMUNITY CARE CHANNING WAY, LLC

2325 Coronado St, Idaho Falls, ID 83404

Registration:
Jan 31, 2012
State ID:
W110635
Business type:
LIMITED LIABILITY COMPANY
Entity State:
DE
Agent:
Joshua Tolman,2325 Coronado St, Idaho Falls, ID 83404 (Physical)

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