NPI 1518008820

Idaho Dept of Health & Welfare Itp Region 7

Organisation Early Intervention Provider Agency Idaho Falls, ID

Practice location

Address: 2475 Leslie Ave, Idaho Falls, ID 83402-4517
Phone: (208) 525-7223
Fax: (208) 525-7176

Authorised official

Name: Mary J Jones
Title: Program Manager
Phone: (208) 334-5523

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Idaho →

Local Education Agency (LEA)

Agencies Taxonomy 251300000X

Other Local Education Agency (LEA) providers in Idaho →

Registry record

NPI: 1518008820
Entity type: Organization
NPI issued: 9 Feb 2007
Record last updated: 5 Aug 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.