Organization
DISABILITY ACTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEEPER (CEO-DIRECTOR)
(208) 883-0523
Entity
Organization
Contact information
Practice address
124 E 3RD ST, MOSCOW, ID 83843-2906
(208) 883-0523
(208) 883-0524
Mailing address
307 19TH ST STE A1, LEWISTON, ID 83501-2086
(208) 746-9033
(208) 746-1004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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