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Organization

ANCHOR PATH SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSUE BUTINDA (MANAGING MEMBER)
(208) 948-3407
Entity
Organization

Contact information

Practice address
591 N CREEKWATER AVE, EAGLE, ID 83616-4019
(208) 948-3407
Mailing address
591 N CREEKWATER AVE, EAGLE, ID 83616-4019
(208) 948-3407

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
02/18/2026
Last updated
02/18/2026
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