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Organization

EXCELLENCE IN EVERYONE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER DAWN BENNETT (MANAGER)
(208) 390-3652
Entity
Organization

Contact information

Practice address
101 N BRIDGE ST, SAINT ANTHONY, ID 83445-5005
(208) 390-3652
Mailing address
PO BOX 154, SAINT ANTHONY, ID 83445-0154
(208) 390-3652

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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