LIVING RESOURCES OF IDAHO, LLC
Organization (NPI-2)
Active
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Information
- NPI Number
1568979326- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5571 N GLENWOOD ST, GARDEN CITY, ID, 837141336
- Phone
- (208) 616-0060
Specialties & Taxonomies
In Home Supportive Care
License: ID #W192684
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Primary
All Addresses
MAILING
5571 N GLENWOOD ST
GARDEN CITY, ID, 837141336