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Community Connections North, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Coeur D Alene, Idaho
NPI 1871935064

Community Connections North, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Boise, ID. Community Connections North, Inc. practices in Coeur D Alene, ID. The NPI Number for Community Connections North, Inc. is 1871935064 and holds a License No. DDA-3922 (Idaho).

The current practice location address for Community Connections North, Inc. is 1230 N Northwood Center Ct, Coeur D Alene, ID and can be reached out via phone at 208-664-1065 and via fax at 208-765-2258.

Location: 1230 N Northwood Center Ct, Coeur D Alene, ID, 83709-2531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871935064
Provider Name
Community Connections North, Inc.
Credential
Provider Entity Type
Organization
Address
1230 N Northwood Center Ct, Coeur D Alene, ID, 83709-2531
Phone Number
208-664-1065
Fax Number
208-765-2258
Provider Enumeration Date
07/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A0001084 05 ID
institution
Provider Business Practice Location Address Details
Address
1230 N Northwood Center Ct
City
Coeur D Alene
State
Idaho
Zip
83814-4941
Phone Number
208-664-1065
Fax Number
208-765-2258
person
Provider Business Mailing Address Details
Address
1230 N Northwood Center Ct
City
Coeur D Alene
State
Idaho
Zip
83814-4941
Phone Number
208-664-1065
Fax Number
208-765-2258
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
RHA-3904 (Idaho)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
DDA-3922 (Idaho)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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