Prosper Dda

LBN: Prosper Dda
Prosper Dda is an health care organization with primary practice located at 2293 Jacqueline Ln , Pocatello ID 83201-1867. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Prosper Dda can be contacted via phone (208) 821-7410, or through Anderson, Craig B via phone (208) 821-7410.

Contact Information

Primary practice address
2293 Jacqueline Ln Pocatello ID 83201-1867
Phone: (208) 821-7410
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Craig B Licensed Clinical Social Worker (LCSW)
Phone: (208) 821-7410

Health care specialties

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

Profile Details

NPI number 1083362065
LBN Legal business name Prosper Dda
DBA Doing business as
Authorized official Anderson, Craig B Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2022
Last updated Mar 17th, 2022 - about 4 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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