institution
State Of Idaho
Intellectual Disabilities Intermediate Care Facility in Nampa, Idaho
NPI 1316063787

State Of Idaho is a Intellectual Disabilities Intermediate Care Facility based in Nampa, ID. State Of Idaho practices in Nampa, ID. The NPI Number for State Of Idaho is 1316063787 and holds a License No. 01 (Idaho).

The current practice location address for State Of Idaho is 1660 11Th Ave N, Nampa, ID and can be reached out via phone at 208-442-2812 and via fax at 208-467-5978. You can also correspond with State Of Idaho through the mailing address at 1660 11TH AVE N, NAMPA, ID - 83687-5000 (mailing address contact number: 208-442-2812).

Location: 1660 11Th Ave N, Nampa, ID, 83687-5000
institution
Provider Profile Details
NPI Number
1316063787
Provider Name
State Of Idaho
Credential
Provider Entity Type
Organization
Address
1660 11Th Ave N, Nampa, ID, 83687-5000
Phone Number
208-442-2812
Fax Number
208-467-5978
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1660 11Th Ave N
City
State
Zip
83687-5000
Phone Number
208-442-2812
Fax Number
208-467-5978
person
Provider Business Mailing Address Details
Address
1660 11Th Ave N
City
State
Zip
83687-5000
Phone Number
208-442-2812
Fax Number
208-467-5978
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
01 (Idaho)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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