OrganizationActive
Manage With Love LLC
NPI 1629894423 · Developmental Disabilities Clinic/Center · Rexburg, ID
Provider details
- NPI number
- 1629894423
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beth Dummar, Owner(208) 716-3659
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
534 Trejo St Ste 200i
Rexburg, ID 83440-5408
Phone: (208) 716-3659
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1025
Rexburg, ID 83440-1025
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2024-11-26
- Certified
- 2024-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.