Organization
JOINT SCHOOL DISTRICT 252
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD KENNETH LEVESQUE (SYSTEMS MANAGER)
(208) 922-3093
Entity
Organization
Contact information
Practice address
455 MAIN ST, RIRIE, ID 83443
(208) 538-7311
(208) 538-7860
Mailing address
176 E CALDERWOOD DR STE 100, MERIDIAN, ID 83642-9097
(208) 922-3093
(208) 922-9351
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806763600
—
ID
Enumeration date
01/25/2007
Last updated
07/14/2008
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