Organization
WITCO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE L JOHNSON (CHIEF FINANCIAL OFFICER)
(208) 454-3051
Entity
Organization
Contact information
Practice address
3919 E USTICK RD, CALDWELL, ID 83605-6508
(208) 454-3051
(208) 454-3051
Mailing address
3919 E USTICK RD, CALDWELL, ID 83605-6508
(208) 454-3051
(208) 454-3051
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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