Idaho Dept of Health & Welfare Itp Region 4
Idaho Dept of Health & Welfare Itp Region 4 is a Local Education Agency (LEA) in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1720 Westgate Dr Ste B-2Boise, ID 83704-7164
Phone: (208) 334-0900
Fax: (208) 334-0926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X (ID) |
|---|---|
| Local Education Agency (LEA) | Taxonomy 251300000X |
Record details
| NPI number | 1568502409 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Jones — Program Manager · (208) 334-5523 |
| NPI enumerated | February 8, 2007 |
| Last updated in NPPES | August 5, 2013 |
| Mailing address | 1720 Westgate Dr, Suite B-2, Boise, ID 83704-7164 |
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