Organization
SYNERGY 208 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMETHA M HAWS (MANAGING PARTNER)
(208) 871-5532
Entity
Organization
Contact information
Practice address
8127 S BUFFALO CREEK LN, MERIDIAN, ID 83642-4891
(208) 871-5532
Mailing address
8127 S BUFFALO CREEK LN, MERIDIAN, ID 83642-4891
(208) 871-5532
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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