Organization
MERIDIAN DEVELOPMENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIE MOWRY (PROGRAM MANAGER)
(208) 888-6068
Entity
Organization
Contact information
Practice address
40 W FRANKLIN RD STE I, MERIDIAN, ID 83642-2992
(208) 888-6068
(208) 888-6055
Mailing address
40 W FRANKLIN RD STE I, MERIDIAN, ID 83642-2992
(208) 888-6068
(208) 888-6055
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
ID
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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