HISWAY, LLC
Managed Care Organizations at Orchard St, Boise, ID

License number
Idaho 807585600
Category
Managed Care Organizations
Type
Exclusive Provider Organization
License number
Idaho LCSW-24969
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MRS. ELLEN HAMPTON
Title: ADMINISTRATOR
Phone: (208) 860-7124
Address
Address
348 N Orchard St, Boise, ID 83706
National Provider ID: 1437208899
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about HISWAY, LLC at bizstanding.com

HISWAY, LLC

8590 W Fairview Ave, Boise, ID 83704

Status:
Inactive
Registration:
Jul 14, 2006
Inactive since:
Dec 28, 2011
State ID:
W52611
Business type:
LIMITED LIABILITY COMPANY
Agent:
Ellen M Hampton,9521 W Irving, Boise, ID 83704 (Physical)

Managed Care Organizations licenses in Idaho