Individual
MISS SARAH E GREVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
25300 KINGSBURY RD, MIDDLETON, ID 83644-5351
(208) 869-3740
Mailing address
25300 KINGSBURY RD, MIDDLETON, ID 83644-5351
(208) 869-3740
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZG400026E
STATE OF IDAHO
ID
Enumeration date
05/13/2022
Last updated
05/13/2022
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