Boise Group Homes, INC

NPI #1275671125 in Boise, Idaho

Provider Information

NPI Number: 1275671125
Entity Type: Organization
Organization Name: Boise Group Homes, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 8310 USTICK RD
Address 2: #300
City: Boise
State: Idaho
ZIP Code: 83704-5757
Phone: (208) 376-1861

Authorized Official

Name: RICHARD DAVIS
Title: ADMINISTRATOR
Phone: (208) 376-1861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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