Organization
UNIFIED SUPPORTS OF IDAHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN FELIX (OWNER/MANAGING DIRECTOR)
(214) 995-9036
Entity
Organization
Contact information
Practice address
2720 STOLL CT, CALDWELL, ID 83607-5053
(214) 995-9036
Mailing address
2720 STOLL CT, CALDWELL, ID 83607-5053
(214) 995-9036
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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