Organization · Type 2 NPI

State of Idaho

Intellectual Disabilities Intermediate Care Facility · Nampa, ID

NPI number 1316063787 Active

Practice location

1660 11th Ave N
Nampa, ID 83687-5000

Call (208) 442-2812 Map

Fax (208) 467-5978

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X01 (ID)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

4 other providers at this address

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About NPI 1316063787

State of Idaho's National Provider Identifier is 1316063787, issued on Mar 21, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Nampa, ID. The record was last updated on Aug 22, 2020.