Organization
TOUCHMARK AT MEADOW LAKE VILLAGE REITREMENT RESORT, LLC
Active
Other names
Touchmark at Meadow Lake Village Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN E. PRYOR (EXECUTIVE VICE PRESIDENT)
(503) 646-5186
Entity
Organization
Contact information
Practice address
4037 E CLOCKTOWER LN, MERIDIAN, ID 83642-8183
(208) 888-2277
(208) 888-9159
Mailing address
4037 E CLOCKTOWER LN, MERIDIAN, ID 83642-8183
(208) 888-2277
(208) 888-9159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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