STATE OF IDAHO is an intermediate care facility mentally retarded in Nampa, ID. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STATE OF IDAHO NPI is 1316063787. The provider is registered as an organization entity type.
The provider Is Doing Business As Dhw Idaho State School And Hopsital.
The provider's business location address is:
1660 11TH AVE N
NAMPA, ID
ZIP 83687-000
Phone: (208) 442-2812
Fax: (208) 467-5978
The provider's authorized official is Sue Broetje .
The authorized official title is Administrative Director and has the following contact phone number (208) 442-2812.
The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/22/2020.