Organization
ONE CHILD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KOTTER (OWNER PRESIDENT)
(208) 357-5251
Entity
Organization
Contact information
Practice address
733 E 1600 N, SHELLEY, ID 83274-5038
(208) 357-5251
Mailing address
733 E 1600 N, SHELLEY, ID 83274-5038
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8063837
—
ID
Enumeration date
05/07/2007
Last updated
08/22/2020
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