NPI 1205796307

Swan Lake Living Services, LLC

Organisation Developmentally Disabled Services Day Training Agency Boise, ID

Practice location

Address: 106 N Latah St Unit D, Boise, ID 83706-2624
Phone: (208) 999-6555
Fax: (208) 473-4506

Authorised official

Name: Adam Ali
Title: Ceo / Director
Phone: (208) 999-6555

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Idaho →

Registry record

NPI: 1205796307
Entity type: Organization
NPI issued: 12 Nov 2025
Record last updated: 8 Feb 2026

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.