Provider Demographics
NPI:1962829499
Name:IDA-ORE PLANNING & DEVELOPMENT ASSOCIATION, INC.
Entity Type:Organization
Organization Name:IDA-ORE PLANNING & DEVELOPMENT ASSOCIATION, INC.
Other - Org Name:IDAHO COUNCIL OF GOVERNMENTS/ AREA AGENCY ON AGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:JD, PMP, CPM
Authorized Official - Phone:208-991-5623
Mailing Address - Street 1:125 E 50TH ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:ID
Mailing Address - Zip Code:83714-1413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 E 50TH ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:ID
Practice Address - Zip Code:83714-1413
Practice Address - Country:US
Practice Address - Phone:208-908-4990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management