Organization Name: | FAMILY SERVICES, PLLC |
NPI Number: | 1750681607 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA M PALLER (OWNER) |
Mailing Address: | 501 N 16th St Ste 108 Payette |
State: | ID US |
Postal Code: | 836612782 |
Phone Number: | 2086426160 |
Fax Number: | 2086426171 |
NPI Enumeration Date: | 10/26/2010 |
NPI Last Update Date: | 10/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |