Organization
MERIDIAN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(208) 888-7049
Entity
Organization
Contact information
Practice address
1351 W PINE AVE, MERIDIAN, ID 83642-2010
(208) 888-7049
Mailing address
1351 W PINE AVE, MERIDIAN, ID 83642-2010
(208) 888-7049
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
09/14/2022
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