# HOME AGAIN ICF

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548594328
- **Authorized official:** MRS. HEATHER LYN DAVIS (ADMINISTRATOR)
- **Authorized official phone:** (208) 863-1846

## Contact information

- **Practice address:** 2311 E ARUBA AVE, NAMPA, ID 83686-1292
- **Practice address phone:** (208) 461-3203
- **Practice address fax:** (208) 461-3203
- **Mailing address:** 2311 ARUBA DR, NAMPA, ID 83686
- **Mailing address phone:** (208) 461-3203
- **Mailing address fax:** (208) 461-3203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 78 | ID | Yes |

## Other

- **Enumeration date:** 09/25/2009
- **Last updated:** 09/25/2009