| NPI | 1518185628 |
|---|---|
| Doing Business As | MDC MAGIC VALLEY |
| Entity Type | Organization |
| Authorized Contact | ROB BENNETT Program Director 208-961-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: ID RHA-272) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: ID RHA-272) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-07-16 |