OrganizationActive
Bloom Children'S Developmental Services, LLC
NPI 1073353967 · Developmental Disabilities Clinic/Center · Boise, ID
Provider details
- NPI number
- 1073353967
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kayla Makar, Owner(208) 312-0891
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
10314 N Blacktail Ave
Boise, ID 83714-9696
Phone: (208) 312-0891
Approximate (ZIP-level) locationGet directions
Mailing address
10314 N Blacktail Ave
Boise, ID 83714-9696
Other names (DBA / former)
- Doing business as
- Bloom Children'S Developmental Services, LLC
- Doing business as
- Bloom Children'S Developmental Services, LLC
Registry dates
- Enumerated
- 2024-05-29
- Last updated
- 2024-06-29
- Certified
- 2024-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.