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1568636959
SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC .
BLACKFOOT, ID
NPI
1568636959
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Entity Type
Organization
Authorized Contact
JIM P. MCCOY
Owner Director
208-782-1301
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2008-04-16
Last Update Date
2008-04-16
Business Address
SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC .
765 W JUDICIAL ST
BLACKFOOT, ID 83221-2036
Phone number: 208-782-1301
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Mailing Address
SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC .
PO BOX 701
BLACKFOOT, ID 83221-0701
Phone number: 208-782-1301
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