Organization
GEM INNOVATION SCHOOLS OF IDAHO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A BOGAR (BUSINESS MANAGER)
(208) 877-1513
Entity
Organization
Contact information
Practice address
600 SOUTH AVE, DEARY, ID 83823-9683
(208) 877-1513
(208) 877-1713
Mailing address
PO BOX 86, DEARY, ID 83823-0086
(208) 877-1513
(208) 877-1713
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
02/05/2020
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