Organization
ADDERSON HEALTHCARE OF IDAHO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE GENE PFEIL (PRESIDENT/CEO)
(208) 895-0033
Entity
Organization
Contact information
Practice address
1167 W CRESCENT ST, MERIDIAN, ID 83642-2620
(208) 895-0033
(208) 895-0033
Mailing address
1167 W CRESCENT ST, MERIDIAN, ID 83642-2620
(208) 895-0033
(208) 895-0033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
ID
Other
Enumeration date
09/02/2006
Last updated
08/22/2020
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