Canyon Creek Developmental Services

LBN: Canyon Creek Developmental Services
Canyon Creek Developmental Services is an health care organization with primary practice located at 5214 Cleveland Blvd Ste G , Caldwell ID 83607-8713. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Canyon Creek Developmental Services can be contacted via phone (208) 454-6266, or through Moody, Beth A via phone (208) 454-6266.

Contact Information

Primary practice address
5214 Cleveland Blvd Ste G Caldwell ID 83607-8713
Phone: (208) 454-6266
Fax: (208) 454-6263
Website:
Map and Directions
Authorized official contact:
Name: Moody, Beth A
Phone: (208) 454-6266

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 3CANCRK123 Idaho

Profile Details

NPI number 1477617165
LBN Legal business name Canyon Creek Developmental Services
DBA Doing business as
Authorized official Moody, Beth A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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