Organization
JOSHUA D. SMITH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS P SMITH B.S (OWNER)
(208) 523-5674
Entity
Organization
Contact information
Practice address
756 OXFORD DR, IDAHO FALLS, ID 83401-4233
(208) 523-5674
Mailing address
756 OXFORD DR, IDAHO FALLS, ID 83401-4233
(208) 523-5674
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
ID
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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