Organization
HIGH VALLEY DEVELOPMENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD JENSEN (OWNER)
(208) 861-8360
Entity
Organization
Contact information
Practice address
4806 SOUTHSIDE BLVD, NAMPA, ID 83686-8919
(208) 466-4286
(208) 442-1345
Mailing address
4806 SOUTHSIDE BLVD, NAMPA, ID 83686-8919
(208) 442-1345
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
8065566500
ID
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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