Teton Supported Living Llc

LBN: Teton Supported Living Llc
Teton Supported Living Llc is an health care organization with primary practice located at 4101 N Creswell Way , Boise ID 83713-2404. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Teton Supported Living Llc can be contacted via phone (208) 377-0580, or through Copeland, Jodi L via phone (208) 377-0580.

Contact Information

Primary practice address
4101 N Creswell Way Boise ID 83713-2404
Phone: (208) 377-0580
Fax: (208) 672-1388
Website:
Map and Directions
Authorized official contact:
Name: Copeland, Jodi L Bachelor of Social Work (BSW)
Phone: (208) 377-0580

Health care specialties

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

Profile Details

NPI number 1477086114
LBN Legal business name Teton Supported Living Llc
DBA Doing business as
Authorized official Copeland, Jodi L Bachelor of Social Work (BSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2017
Last updated Apr 10th, 2017 - about 9 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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