OrganizationActive
Idaho Dept of Health & Welfare Itp Reg. 1
NPI 1932248234 · Early Intervention Provider Agency · Coeur D Alene, ID
Provider details
- NPI number
- 1932248234
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mary Jones, Program Manager(208) 334-5523
Specialties & taxonomies
Agencies
- Local Education Agency (LEA)251300000X
Agencies
Practice location
2195 Ironwood Ct
Coeur D Alene, ID 83814-2628
Phone: (208) 769-1409
Fax: (208) 769-1430
Approximate (ZIP-level) locationGet directions
Mailing address
2195 Ironwood Ct
Coeur D Alene, ID 83814-2628
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2013-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.