Organization
LOTUS EARLY LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE L DAVIS MS ED (OWNER/DIRECTOR)
(208) 582-3281
Entity
Organization
Contact information
Practice address
110 S JACKSON ST, MOSCOW, ID 83843-2038
(208) 582-3281
Mailing address
110 S JACKSON ST, MOSCOW, ID 83843-2038
(208) 582-3281
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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