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Brenda Elaine Dilbeck
Intellectual Disabilities Intermediate Care Facility in Boise, Idaho
NPI 1861742736

Brenda Elaine Dilbeck is a Intellectual Disabilities Intermediate Care Facility based in Boise, ID. Brenda Elaine Dilbeck practices in Boise, ID. The NPI Number for Brenda Elaine Dilbeck is 1861742736 and holds a License No. (Idaho).

The current practice location address for Brenda Elaine Dilbeck is 4515 N Glenwood St, Boise, ID and can be reached out via phone at 208-629-4290 and via fax at 208-629-4290.

Location: 4515 N Glenwood St, Boise, ID, 83704-3012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861742736
Provider Name
Brenda Elaine Dilbeck
Credential
Provider Entity Type
Individual
Gender
Female
Address
4515 N Glenwood St, Boise, ID, 83704-3012
Phone Number
208-629-4290
Fax Number
208-629-4290
Provider Enumeration Date
09/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M8063096 05 ID
institution
Provider Business Practice Location Address Details
Address
4515 N Glenwood St
City
Boise
State
Idaho
Zip
83704-3012
Phone Number
208-629-4290
Fax Number
208-629-4290
person
Provider Business Mailing Address Details
Address
4515 N Glenwood St
City
Boise
State
Idaho
Zip
83704-3012
Phone Number
208-629-4290
Fax Number
208-629-4290
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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