Southeastern Idaho Developmental Center, Inc.
NPI #1235264318 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1235264318
- Entity Type
- Organization
- Organization Name
- Southeastern Idaho Developmental Center, Inc.
- Primary Specialty
- Case Management
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- JIM P. MCCOY
- Title
- OWNER DIRECTOR
- Phone
- (208) 782-1301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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