Organization
SPRINGFIELD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOREN WHEELER (ADMINISTRATOR)
(205) 345-7160
Entity
Organization
Contact information
Practice address
220 E 37TH ST STE A, BOISE, ID 83714-3414
(208) 345-7160
(208) 343-1064
Mailing address
220 E 37TH ST STE A, BOISE, ID 83714-3414
(208) 345-7160
(208) 343-1064
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0027717
ID
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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