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EXCEPTIONAL CHILD CENTER INC. NPI 1225540537


NPI Information

NPI: 1225540537
Provider Name: EXCEPTIONAL CHILD CENTER, INC.

Doing Business As: CENTER FOR INDPENDENT LIVING

Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Organization
Address:
1411 FALLS AVE E STE 703
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-8973
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EXCEPTIONAL CHILD CENTER, INC. is a day training habilitation specialist in Twin Falls, ID. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. EXCEPTIONAL CHILD CENTER, INC. NPI is 1225540537. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Center For Indpendent Living.

The provider's business location address is:

1411 FALLS AVE E STE 703
TWIN FALLS, ID
ZIP 83301-455
Phone: (208) 734-8973
Fax: (866) 319-5722

The provider's authorized official is Shiela J Lemmons .
The authorized official title is Office Manager and has the following contact phone number (208) 734-8973.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 6/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1373H00000XDay Training/Habilitation SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11740303122MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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