Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Teton Supported Living LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1477086114

Teton Supported Living LLC is a Developmentally Disabled Services Day Training Agency in Boise, Idaho. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4101 N Creswell Way
Boise, ID 83713-2404
Phone: (208) 377-0580
Fax: (208) 672-1388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X

Record details

NPI number1477086114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodi Copeland — Owner/Administrator · (208) 377-0580
NPI enumeratedApril 10, 2017
Last updated in NPPESApril 10, 2017
Mailing address4101 N Creswell Way, Boise, ID 83713-2404

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