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Spencer Wendell Olson
Child Intellectual and/or Developmental Disabilities Respite Care in Shelley, Idaho
NPI 1407572118

Spencer Wendell Olson is a Child Intellectual and/or Developmental Disabilities Respite Care based in Shelley, ID and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Spencer Wendell Olson practices in Shelley, ID. The NPI Number for Spencer Wendell Olson is 1407572118 and holds a License No. (Idaho).

The current practice location address for Spencer Wendell Olson is 205 Spruce St, Shelley, ID and can be reached out via phone at 208-360-4294.

Location: 205 Spruce St, Shelley, ID, 83274-1441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407572118
Provider Name
Spencer Wendell Olson
Credential
Provider Entity Type
Individual
Gender
Male
Address
205 Spruce St, Shelley, ID, 83274-1441
Phone Number
208-360-4294
Fax Number
Provider Enumeration Date
10/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
205 Spruce St
City
Shelley
State
Idaho
Zip
83274-1441
Phone Number
208-360-4294
Fax Number
person
Provider Business Mailing Address Details
Address
205 Spruce St
City
Shelley
State
Idaho
Zip
83274-1441
Phone Number
208-360-4294
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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