NPI 1164013777

Community Coaching LLC

Organisation Developmentally Disabled Services Day Training Agency Boise, ID

Practice location

Address: 2707 W Wymer St, Boise, ID 83705-2469
Phone: (208) 703-2097
Mailing address: 1715 W Howe St, Boise, ID 83706-3434

Authorised official

Name: Tina Waters
Title: Executive Director
Phone: (208) 703-2097

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Idaho →

Registry record

NPI: 1164013777
Entity type: Organization
NPI issued: 27 Jan 2021
Record last updated: 27 Jan 2021

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.