Individual provider · Type 1 NPI
Kenneth Allen Dengler
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Boise, ID
Practice location
3716 W Camas St
Boise, ID 83705-2229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1801761424
Kenneth Allen Dengler's National Provider Identifier is 1801761424, issued on Oct 6, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Boise, ID. The record was last updated on Oct 6, 2025.