Organization
HUMAN SUPPORTS OF IDAHO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTIA RUBY (ADMIN)
(208) 454-8389
Entity
Organization
Contact information
Practice address
314 BADIOLA ST, CALDWELL, ID 83605-4389
(208) 454-8389
Mailing address
PO BOX 820, CALDWELL, ID 83606-0820
(208) 454-8389
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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