Gary Robert Martin

NPI #1073226437 in Naples, Idaho

Provider Information

NPI Number: 1073226437
Entity Type: Individual
Name: Gary Robert Martin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Foster Care Agency
Enumeration Date: Dec 30, 2022
Last Updated: Feb 16, 2023

Practice Location

Address: 516 LAUREL LANE
City: Naples
State: Idaho
ZIP Code: 83847
Phone: (208) 610-1686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Assisted Living Facility	310400000X
Foster Care Agency	253J00000X	Primary

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