person
Mike Anderson
Child Intellectual and/or Developmental Disabilities Respite Care in Meridian, Idaho
NPI 1194033746

Mike Anderson is a Child Intellectual and/or Developmental Disabilities Respite Care based in Meridian, ID and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Mike Anderson practices in Meridian, ID. The NPI Number for Mike Anderson is 1194033746 and holds a License No. (Idaho).

The current practice location address for Mike Anderson is 618 Nw 1St St, Meridian, ID and can be reached out via phone at 208-407-2077.

Location: 618 Nw 1St St, Meridian, ID, 83642-2505
person
Provider Profile Details
NPI Number
1194033746
Provider Name
Mike Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
618 Nw 1St St, Meridian, ID, 83642-2505
Phone Number
208-407-2077
Fax Number
Provider Enumeration Date
09/16/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
618 Nw 1St St
City
State
Zip
83642-2505
Phone Number
208-407-2077
Fax Number
person
Provider Business Mailing Address Details
Address
618 Nw 1St St
City
State
Zip
83642-2505
Phone Number
208-407-2077
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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