LUCAS SMITH

BLACKFOOT, ID
NPI1083480404
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities
Enumeration Date2023-11-27
Last Update Date2023-11-27
Business Address
LUCAS SMITH
861 LAKESIDE DR
BLACKFOOT, ID 83221-1674
Phone number: 208-360-7355
Mailing Address
LUCAS SMITH
861 LAKESIDE DR
BLACKFOOT, ID 83221-1674
Phone number: