Evan White
Evan White is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Emmett, Idaho. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
9825 Mayberry LnEmmett, ID 83617-3051
Phone: (208) 713-1290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1043038268 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 27, 2024 |
| Last updated in NPPES | September 27, 2024 |
| Certification date | September 26, 2024 |
| Mailing address | 9825 Mayberry Ln, Emmett, ID 83617-3051 |