Whalio Doctors

NPI 1740047026

Rachael a Masaitis, BS

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Nampa, ID

Practice location

Address
3515 E Alexis CT, Nampa, ID 83686-5491
Phone
(208) 369-0681

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence CHF-10057 (ID)

Registry record

NPI
1740047026
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Mar 2024
Record last updated
8 Mar 2024

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.