Organization
ALZHEIMER DEMENTIA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WILLIAMS (PROGRAM DIRECTOR)
(208) 991-2551
Entity
Organization
Contact information
Practice address
6121 CLEVELAND BLVD, CALDWELL, ID 83607-5129
(208) 991-2551
Mailing address
723 ROYAL ST, CALDWELL, ID 83605-1665
(208) 991-2551
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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