Organization · Type 2 NPI

Bloom Children's Developmental Services, LLC

Developmental Disabilities Clinic/Center · Boise, ID

NPI number 1073353967 Active

Practice location

10314 N Blacktail Ave
Boise, ID 83714-9696

Specialties and licenses

Taxonomy	Code	License
Developmental Disabilities Clinic/Center Primary	261QD1600X	None listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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NPI record

NPI: 1073353967
Entity type: Organization (Type 2)
Issued: May 29, 2024
Last updated: Jun 29, 2024
Status: Active

Other names

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Bloom Children's Developmental Services, LLC · doing business as
Bloom Children's Developmental Services, LLC · doing business as

Authorized official

Kayla Dawn Makar
Owner
(208) 312-0891

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About NPI 1073353967

Bloom Children's Developmental Services, LLC's National Provider Identifier is 1073353967, issued on May 29, 2024. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Boise, ID. The record was last updated on Jun 29, 2024.