NPI 1275671125

Boise Group Homes, INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Boise, ID

Practice location

Address: 8310 Ustick Rd #300, Boise, ID 83704-5757
Phone: (208) 376-1861
Fax: (208) 376-1869
Mailing address: PO Box 4243, Boise, ID 83711-4243

Authorised official

Name: Richard Davis
Title: Administrator
Phone: (208) 376-1861

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 55 (ID)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Idaho →

Registry record

NPI: 1275671125
Entity type: Organization
NPI issued: 2 Feb 2007
Record last updated: 22 Aug 2020

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.