Organization · NPI-2

Durdur LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Boise, ID

NPI number1366331886
StatusActive
Last updated in NPPESJun 30, 2025

Details

NPI
1366331886
Entity type
Organization (NPI-2)
Legal business name
Durdur LLC
Organization subpart
No
Enumeration date
Jun 30, 2025
Certification date
Jun 30, 2025
Last updated
Jun 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

5122 W Stoker Ln
Boise, ID 83703-3389

Phone 619-315-4708

Mailing address

5122 W Stoker Ln
Boise, ID 83703-3389

Authorized official

Mohamed Ahmed
Ceo
6193154708

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