NPI age
18 years
Enumerated 2007-05-31
Across 22 active custodial care facility providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0027370 | |
| 05 (ID) | 0027368 | |
| 05 (ID) | 002737000 | |
| 05 (DE) | 002736800 |
Single-site organization. Only one practice location on file.
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