SearchIdahoIntellectual and/or Developmental Disabilities Residential Treatment Facility

Alisha Moses

NPI 1780515726 · on the registry since 2026 · sole proprietor

Practice

Address
374 Fairway Dr
Pocatello, ID 83201
Phone
(208) 339-1265

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-28

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