Organization
MERIDIAN DEVELOPMENTAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY R. FOWLER (ADMINISTRATOR)
(208) 853-7155
Entity
Organization
Contact information
Practice address
40 W FRANKLIN RD STE I, MERIDIAN, ID 83642-2992
(208) 888-6068
(208) 888-6055
Mailing address
PO BOX 140289, BOISE, ID 83714-0289
(208) 853-7155
(208) 853-7156
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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