NPI 1558482711

C and R Incorporation

Organisation Developmentally Disabled Services Day Training Agency Moscow, ID

Practice location

Address: 1107 S Logan St, Moscow, ID 83843-3124
Phone: (208) 882-8040
Fax: (208) 882-9050

Authorised official

Name: Valerie Sue Cutshall
Title: Administrator
Phone: (208) 882-8040

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 8070463 (ID)

Other Day Training, Developmentally Disabled Services providers in Idaho →

Registry record

NPI: 1558482711
Entity type: Organization
NPI issued: 3 Apr 2007
Record last updated: 23 Jun 2008

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.