Spencer Wendell Olson
Spencer Wendell Olson is a Child Intellectual and/or Developmental Disabilities Respite Care in Shelley, Idaho. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
205 Spruce StShelley, ID 83274-1441
Phone: (208) 360-4294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Intellectual and/or Developmental Disabilities Respite Care (primary) | Taxonomy 385HR2060X |
|---|
Record details
| NPI number | 1407572118 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 13, 2022 |
| Last updated in NPPES | October 13, 2022 |
| Certification date | October 13, 2022 |
| Mailing address | 205 Spruce St, Shelley, ID 83274-1441 |