# GROW DEVELOPMENTAL DISABILITY SOLUTIONS IDAHO

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

## Provider details

- **NPI number:** 1730997958
- **Authorized official:** LIBERTY WECKER (OWNER)
- **Authorized official phone:** (503) 882-2525

## Contact information

- **Practice address:** 205 STOCKHAM BLVD STE D, RIGBY, ID 83442-5285
- **Practice address phone:** (503) 882-2525
- **Mailing address:** 205 STOCKHAM BLVD STE D, RIGBY, ID 83442-5285
- **Mailing address phone:** (503) 882-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/19/2024