Gem Innovation Schools of Idaho, Inc.

NPI #1023336161 in Deary, Idaho

Provider Information

NPI Number: 1023336161
Entity Type: Organization
Organization Name: Gem Innovation Schools of Idaho, Inc.
Primary Specialty: Case Management
Enumeration Date: May 13, 2010
Last Updated: Feb 5, 2020

Practice Location

Address: 600 SOUTH AVE
City: Deary
State: Idaho
ZIP Code: 83823-9683
Phone: (208) 877-1513

Authorized Official

Name: LORI A BOGAR
Title: BUSINESS MANAGER
Phone: (208) 877-1513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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