Healthcare Provider Details

I. General information

NPI: 1639082068
Provider Name (Legal Business Name): WHAT ABOUT ME COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 S ORCHARD ST
BOISE ID
83705-1241
US

IV. Provider business mailing address

519 S ORCHARD ST
BOISE ID
83705-1241
US

V. Phone/Fax

Practice location:
  • Phone: 208-208-1112
  • Fax:
Mailing address:
  • Phone: 208-208-1112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: GREG WILLIAM DENNLER
Title or Position: OWNER
Credential:
Phone: 208-208-1112