ST. AUGUSTINE HEALTHCARE OF IDAHO LLC

BOISE, ID
NPI1508541970
Entity TypeOrganization
Authorized ContactZIZINA ANACKER
Owner
208-202-8974
Organization Subpart ?No
Primary Taxonomy251C00000X Day Training, Developmentally Disabled Services
Enumeration Date2023-06-21
Last Update Date2023-06-21
Business Address
ST. AUGUSTINE HEALTHCARE OF IDAHO LLC
10936 W SPRING RIVER ST
BOISE, ID 83709-5677
Phone number: 208-202-8974
Mailing Address
ST. AUGUSTINE HEALTHCARE OF IDAHO LLC
10936 W SPRING RIVER ST
BOISE, ID 83709-5677
Phone number: 208-202-8974