Organization
BLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC
Active
Organization
BLOOM CHILDREN'S DEVELOPMENTAL SERVICES, LLC
Active
Other names
Bloom Children's Developmental Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA DAWN MAKAR (OWNER)
(208) 312-0891
Entity
Organization
Contact information
Practice address
10314 N BLACKTAIL AVE, BOISE, ID 83714-9696
(208) 312-0891
Mailing address
10314 N BLACKTAIL AVE, BOISE, ID 83714-9696
(208) 312-0891
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
06/29/2024
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