| NPI | 1689820375 |
|---|---|
| Former Legal Business Name | STATE OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | BRUCE A KROSCH Director 208-455-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2013-01-07 |