Boise Group Homes INC

NPI #1366581894 in Boise, Idaho

Provider Information

NPI Number: 1366581894
Entity Type: Organization
Organization Name: Boise Group Homes INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 5, 2007
Last Updated: Jun 20, 2008

Practice Location

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

Authorized Official

Name: MR. 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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Organizations

Provider Name	Specialty	City
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