| NPI | 1164145645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES EKPENKHIO Director 208-297-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 373H00000X Day Training/Habilitation Specialist | |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2024-03-08 |