State of Idaho
State of Idaho is an Intellectual Disabilities Intermediate Care Facility in Hayden, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
Practice location Address checks out
1182 W Kyler AveHayden, ID 83835
Phone: (208) 762-0244
Fax: (208) 762-0269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 81 (ID) |
|---|
Record details
| NPI number | 1962755868 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Broetje — Administrator · (208) 697-0625 |
| Other names | Switc-Kyler House |
| NPI enumerated | October 17, 2012 |
| Last updated in NPPES | October 17, 2012 |
| Mailing address | 1660 11th Ave N, Nampa, ID 83687-5000 |