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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.

Active Organization

SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC. is a Behavioral Health, Residential organization located in BLACKFOOT, Idaho. NPI 1629124987 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · BLACKFOOT, ID

Registration Details

NPI Number
1629124987
Provider Type
Organization
NPI Issued
Jan 26, 2007 (19.59053755686 yrs)
Last Updated
Mar 20, 2008
License
6SOEAST035 (ID)

Practice Information

Address
765 W JUDICIAL ST
BLACKFOOT, ID, 832212036
Browse ID providers · Browse ZIP 83221
Phone
2087821301
Fax
2087823627
Primary Specialty
Behavioral Health, Residential
251C00000X

Other Behavioral Health, Residential Organizations in BLACKFOOT, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.