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“Intellectual And/or Developmental Disabilities Community Based Residential Treatment Facility” (Emmett, ID)

Location: Emmett, ID
Taxonomy: Intellectual And/or Developmental Disabilities Community Based Residential Treatment Facility.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1043038268 — EVAN WHITE
Practice Location Address:
9825 MAYBERRY LN
EMMETT ID
83617-3051
Practice Phone: 208-713-1290
1275386021 — SUMMIT YOUTH ACADEMY, INC
Practice Location Address:
330 W MAIN ST
EMMETT ID
83617-3470
Practice Phone: 208-365-3642

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