NPI 1376686949

Human Supports of Idaho, INC.

Organisation Case Management Agency Caldwell, ID

Practice location

Address: 314 Badiola St, Caldwell, ID 83605-4389
Phone: (208) 454-8389
Fax: (208) 454-8404
Mailing address: PO Box 820, Caldwell, ID 83606-0820

Authorised official

Name: Gregory L Dickerson
Title: Administrator
Phone: (208) 321-0160

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

Other Case Management providers in Idaho →

Registry record

NPI: 1376686949
Entity type: Organization
NPI issued: 14 Feb 2007
Record last updated: 30 Sep 2013

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.