Provider Demographics
NPI:1093908741
Name:HELMSMAN SERVICES LLC
Entity Type:Organization
Organization Name:HELMSMAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENETA
Authorized Official - Middle Name:H
Authorized Official - Last Name:ADAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:208-521-5654
Mailing Address - Street 1:225 E. FIR ST
Mailing Address - Street 2:APT A
Mailing Address - City:SHELLEY
Mailing Address - State:ID
Mailing Address - Zip Code:83274
Mailing Address - Country:US
Mailing Address - Phone:208-521-5654
Mailing Address - Fax:
Practice Address - Street 1:175 W. PINE ST
Practice Address - Street 2:
Practice Address - City:SHELLEY
Practice Address - State:ID
Practice Address - Zip Code:83274
Practice Address - Country:US
Practice Address - Phone:208-521-5654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health