Organization
DEVELOPMENTAL CONCEPTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY WALKER (OWNER)
(208) 323-6601
Entity
Organization
Contact information
Practice address
8100 W EMERALD ST, SUITE #170, BOISE, ID 83704-9055
(208) 323-6601
Mailing address
8100 W EMERALD ST, SUITE #170, BOISE, ID 83704-9055
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
3DEVCON128
ID
261QD1600X
Developmental Disabilities Clinic/Center
Primary
4DEVCON127
ID
Other
Enumeration date
01/30/2007
Last updated
03/03/2008
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