person
Dena Sue Buck
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nampa, Idaho
NPI 1154031920

Dena Sue Buck is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Nampa, ID. Dena Sue Buck practices in Nampa, ID. The NPI Number for Dena Sue Buck is 1154031920 and holds a License No. (Idaho).

The current practice location address for Dena Sue Buck is 3523 S Rock Springs Way, Nampa, ID and can be reached out via phone at 208-960-2625.

Location: 3523 S Rock Springs Way, Nampa, ID, 83686-5364
person
Provider Profile Details
NPI Number
1154031920
Provider Name
Dena Sue Buck
Credential
Provider Entity Type
Individual
Gender
Female
Address
3523 S Rock Springs Way, Nampa, ID, 83686-5364
Phone Number
208-960-2625
Fax Number
Provider Enumeration Date
12/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3523 S Rock Springs Way
City
State
Zip
83686-5364
Phone Number
208-960-2625
Fax Number
person
Provider Business Mailing Address Details
Address
3523 S Rock Springs Way
City
State
Zip
83686-5364
Phone Number
208-960-2625
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Idaho)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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