Organization
COMMUNICARE, INC.
Active
Other names
CommuniCare Reshab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS F WHITTEMORE (ADMINISTRATOR)
(208) 888-1155
Entity
Organization
Contact information
Practice address
40 W FRANKLIN RD, SUITE F, MERIDIAN, ID 83642-2965
(208) 888-1155
(208) 888-1156
Mailing address
40 W FRANKLIN RD, SUITE F, MERIDIAN, ID 83642-2965
(208) 888-1155
(208) 888-1156
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
000
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8041624
—
ID
Enumeration date
04/23/2007
Last updated
08/22/2020
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