NPI 1083002240
Tracy Irene Davidson
Practice location
- Address
- 493493 Highway 95 Rd, Naples, ID 83847-4913
- Phone
- (208) 255-6804
Authorised official
- Name
- Tracy Davidson
- Title
- Owner
- Phone
- (208) 255-6804
Registered specialties (3)
Developmentally Disabled Services Day Training Agency
Primary
In Home Supportive Care Agency
Assisted Living Facility (Behavioral Disturbances)
Registry record
- NPI
- 1083002240
- Entity type
- Organization
- NPI issued
- 22 Dec 2014
- Record last updated
- 2 Jan 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.