Developmental Disability Service Coordinators Of Idaho

NPI 1194115378 - Case Management - 251B00000X

NPI Details
NPI 1194115378
Enumeration Date 01/27/2015
Last Updated 02/12/2016
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name PATRICK TIMOTHY PATRICK
Position PRESIDENT
Phone (208) 982-7701
Fax (208) 209-7186
Practice Location
1111 S ORCHARD ST
SUITE #157
BOISE ID, 83705-1966, US
Phone (208) 982-7701
Fax (208) 209-7186
Business Location
1111 S ORCHARD ST
SUITE #157
BOISE ID, 83705-1966, US
Phone (208) 982-7701
Fax (208) 323-1868
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
Remove 1194115378 NPI Number
 

According to our database, Developmental Disability Service Coordinators Of Idaho NPI is 1194115378, taxonomy code is 251B00000X Developmental Disability Service Coordinators Of Idaho physically located at 1111 S Orchard St, Boise ID, 83705-1966. NPI Number 1033115704 has the healthcare provider type.

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1194115378 NPI number is provided on an as is basis without warranty of any kind. 1194115378 is maintained by the National Plan & Provider Enumeration System. The contents of Developmental Disability Service Coordinators Of Idaho are for informational purposes only.