Human Supports of Idaho, Inc.

NPI #1376686949 in Caldwell, Idaho

Provider Information

NPI Number: 1376686949
Entity Type: Organization
Organization Name: Human Supports of Idaho, Inc.
Primary Specialty: Case Management
Enumeration Date: Feb 14, 2007
Last Updated: Sep 30, 2013

Practice Location

Address: 314 BADIOLA ST
City: Caldwell
State: Idaho
ZIP Code: 83605-4389
Phone: (208) 454-8389

Authorized Official

Name: GREGORY L DICKERSON, LMSW
Title: ADMINISTRATOR
Phone: (208) 321-0160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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