Search › Idaho › Child Intellectual and/or Developmental Disabilities Respite Care
Lucas Smith
NPI 1083480404 · on the registry since 2023 · sole proprietor
Practice
- Address
- 861 Lakeside Dr
Blackfoot, ID 83221 - Phone
- (208) 360-7355
Registry record
- Primary taxonomy
- Child Intellectual and/or Developmental Disabilities Respite Care
385HR2060X
- Sex
- Male
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho