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COLE ODOM

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1821971326Individual

Specialties, Licenses & Credentials

Private Vehicle

Private Vehicle

Code: 347C00000X

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

Contact & Hours

Address
3420 S. FORK AVE
NAMPA, ID 83686

Quick Facts

NPI
1821971326
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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