All Developmental Disability Services

LBN: All Developmental Disability Services
All Developmental Disability Services is an health care organization with primary practice located at 1350 S Vista Ave , Boise ID 83705-2567. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. All Developmental Disability Services can be contacted via phone (208) 424-3160, or through Mitton, Michelle A via phone (208) 465-5114.

Contact Information

Primary practice address
1350 S Vista Ave Boise ID 83705-2567
Phone: (208) 424-3160
Fax: (208) 433-9794
Website:
Map and Directions
Authorized official contact:
Name: Mitton, Michelle A B.S.
Phone: (208) 465-5114

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1396907861
LBN Legal business name All Developmental Disability Services
DBA Doing business as
Authorized official Mitton, Michelle A B.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Jun 18th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396907861 NPPES
Idaho MEDICAID 808063101
Idaho MEDICAID 808077800
Idaho MEDICAID 808317200
Idaho MEDICAID 808065600
Idaho MEDICAID 808063100
Idaho MEDICAID 808077801
Idaho MEDICAID 808065601

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