NPI 1568979326
Living Resources of Idaho, LLC
Practice location
- Address
- 5571 N Glenwood St, Garden City, ID 83714-1336
- Phone
- (208) 616-0060
Authorised official
- Name
- Cynthia Sauer
- Title
- Executive Director/Administrator
- Phone
- (208) 616-0060
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1568979326
- Entity type
- Organization
- NPI issued
- 2 Jan 2018
- Record last updated
- 13 Nov 2019
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.