SearchIdahoIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Kenneth Dengler

NPI 1801761424 · on the registry since 2025 · sole proprietor

Practice

Address
3716 W Camas St
Boise, ID 83705
Phone
(208) 794-1884

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-06

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