Agave Speech And Language Services Llc

LBN: Agave Speech And Language Services Llc
Agave Speech And Language Services Llc is an health care organization with primary practice located at 1747 N Fairmeadow Dr , Boise ID 83704-7007. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Agave Speech And Language Services Llc can be contacted via phone (208) 761-2109, or through Hobbs, Jennifer via phone (208) 761-2109.

Contact Information

Primary practice address
1747 N Fairmeadow Dr Boise ID 83704-7007
Phone: (208) 761-2109
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hobbs, Jennifer CCC-SLP
Phone: (208) 761-2109

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-2638 Idaho

Profile Details

NPI number 1265937551
LBN Legal business name Agave Speech And Language Services Llc
DBA Doing business as
Authorized official Hobbs, Jennifer CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2018
Last updated Mar 28th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265937551 NPPES
Idaho Other 1215360169 INDIVIDUAL NPI

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