Whalio Doctors

NPI 1568979326

Living Resources of Idaho, LLC

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

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
Residential Treatment Facilities Taxonomy 320900000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X Licence W192684 (ID)

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.