NPI 1154714897

Phoenix Management LLC

Organisation Developmentally Disabled Services Day Training Agency Chubbuck, ID

Practice location

Address: 10991 Deerridge Dr., Chubbuck, ID 83202
Phone: (208) 317-3625

Authorised official

Name: Merinda Halladay
Title: Owner/Administrator
Phone: (208) 317-3625

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Idaho →

Registry record

NPI: 1154714897
Entity type: Organization
NPI issued: 5 Mar 2015
Record last updated: 5 Mar 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.