# UNIFIED SUPPORTS OF IDAHO LLC

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

## Provider details

- **NPI number:** 1750276499
- **Authorized official:** JUSTIN FELIX (OWNER/MANAGING DIRECTOR)
- **Authorized official phone:** (214) 995-9036

## Contact information

- **Practice address:** 2720 STOLL CT, CALDWELL, ID 83607-5053
- **Practice address phone:** (214) 995-9036
- **Mailing address:** 2720 STOLL CT, CALDWELL, ID 83607-5053
- **Mailing address phone:** (214) 995-9036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 373H00000X | Day Training/Habilitation Specialist | — | NULL | — |
| 373H00000X | Day Training/Habilitation Specialist | — | — | — |

## Other

- **Enumeration date:** 06/12/2025
- **Last updated:** 06/12/2025