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Organization
ST. FILLAN'S, LLC
Active
Organization
ST. FILLAN'S, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW VANDERBEEK (ADMINISTRATOR/OWNER)
(208) 871-4552
Entity
Organization
Contact information
Practice address
226 E 5TH ST, MERIDIAN, ID 83642-2774
(208) 871-4552
(208) 855-0866
Mailing address
226 E 5TH ST, MERIDIAN, ID 83642-2774
(208) 871-4552
(208) 855-0866
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RHA-4979
ID
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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