REM IDAHO LLC NPI 1689249369

NPI Information

REM IDAHO, LLC is a developmental disabilities clinic center in Boise, ID. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). REM IDAHO, LLC NPI is 1689249369. The provider is registered as an organization entity type.

The provider's business location address is:

9627 W MEDALLION DR
BOISE, ID
ZIP 83709-251
Phone: (951) 201-5914

The provider's authorized official is Robin Jacome .
The authorized official title is Sr. Business Director and has the following contact phone number (951) 201-5914.

The enumeration date for this NPI number is 5/25/2021 and was last updated on 5/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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