Doris Thornock

NPI #1912264474 in Montpelier, Idaho

Provider Information

NPI Number
1912264474
Entity Type
Organization
Organization Name
Doris Thornock
Primary Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
Apr 20, 2012
Last Updated
Apr 20, 2012

Practice Location

Address
444 N 10TH ST
State
Idaho
ZIP Code
83254-1115
Phone
(208) 847-2623

Authorized Official

Name
DORIS F THORNOCK
Title
SOLE PROPRIETOR
Phone
(208) 847-2623

Specialties & Taxonomy Codes

Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child

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