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EVAN WHITE
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI: 1043038268Individual
Specialties, Licenses & Credentials
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Code: 320900000X
Contact & Hours
- Address
- 9825 MAYBERRY LN
EMMETT, ID 83617 - Phone
- (208) 713-1290
Quick Facts
- NPI
- 1043038268
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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