Organization
ABOUT FACE MENTAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DAYLE KIRKENDALL MA, BS, AS (OWNER)
(208) 412-3142
Entity
Organization
Contact information
Practice address
7421 E SAXTON LN, NAMPA, ID 83687-9483
(208) 412-3142
Mailing address
7421 E SAXTON LN, NAMPA, ID 83687-9483
(208) 412-3142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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