SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC .
Organization (NPI-2)
Active
Case Management
Provider Information
- NPI Number
1568636959- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 765 W JUDICIAL ST, BLACKFOOT, ID, 832212036
- Phone
- (208) 782-1301
- Fax
- (208) 782-3627
Specialties & Taxonomies
Case Management
Primary License: ID