SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.

BLACKFOOT, ID
NPI1780879700
Entity TypeOrganization
Authorized ContactJIM P. MCCOY
Owner Director
208-782-1301
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2007-09-12
Last Update Date2007-09-12
Business Address
SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
765 W JUDICIAL ST
BLACKFOOT, ID 83221-2036
Phone number: 208-782-1301
Mailing Address
SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
PO BOX 701
BLACKFOOT, ID 83221-0701
Phone number: 208-782-1301
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