Organization
FELLOWSHIPS DDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN C ADKINS (PROGRAM COORDINATOR)
(208) 888-5419
Entity
Organization
Contact information
Practice address
1530 W STATE ST, SUITE F, MERIDIAN, ID 83642-8503
(208) 888-5419
Mailing address
1530 W STATE ST, SUITE F, MERIDIAN, ID 83642-8503
(208) 888-2350
(208) 888-9309
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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