| NPI | 1083002240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DAVIDSON Owner 208-255-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2015-01-02 |