| NPI | 1508541970 |
|---|---|
| Other Name | ST. AUGUSTINE HEALTHCARE OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | ZIZINA ANACKER Owner 208-202-8974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |