Individual provider · Type 1 NPI
Brenda Elaine Dilbeck
Intellectual Disabilities Intermediate Care Facility · Boise, ID
NPI number
1861742736
Active
Practice location
4515 N Glenwood St
Boise, ID 83704-3012
Fax (208) 629-4290
Mailing address
4519 N Glenwood St
Boise, ID 83704-3012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1861742736
Brenda Elaine Dilbeck's National Provider Identifier is 1861742736, issued on Sep 18, 2012. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Boise, ID. The record was last updated on Sep 18, 2012.