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Andrea Loban
Developmentally Disabled Services Day Training Agency in Victor, Idaho
NPI 1902205230

Andrea Loban is a Developmentally Disabled Services Day Training Agency based in Victor, ID. Andrea Loban practices in Victor, ID. The NPI Number for Andrea Loban is 1902205230 and holds a License No. (Idaho).

The current practice location address for Andrea Loban is 5049 Fox Creek Hollow, Victor, ID and can be reached out via phone at 208-201-3467.

Location: 5049 Fox Creek Hollow, Victor, ID, 83455-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902205230
Provider Name
Andrea Loban
Credential
Provider Entity Type
Individual
Gender
Female
Address
5049 Fox Creek Hollow, Victor, ID, 83455-0000
Phone Number
208-201-3467
Fax Number
Provider Enumeration Date
08/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
127612300 01 WY MEDICAID PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
5049 Fox Creek Hollow
City
Victor
State
Idaho
Zip
83455-0000
Phone Number
208-201-3467
Fax Number
person
Provider Business Mailing Address Details
Address
5049 Fox Creek Hollow
City
Victor
State
Idaho
Zip
83455-0000
Phone Number
208-201-3467
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
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.
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