Organization
INCLUSION NORTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CHANEY (COMPTROLLER)
(208) 888-1758
Entity
Organization
Contact information
Practice address
213 N MAIN ST, SUITE #1, MOSCOW, ID 83843-2700
(208) 883-8041
(208) 882-4079
Mailing address
880 E FRANKLIN RD, #303, MERIDIAN, ID 83642-6099
(208) 888-1758
(208) 895-8001
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2INCLUS003
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8041864
—
ID
Enumeration date
05/11/2007
Last updated
08/22/2020
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