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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MENTOR IDAHO, LLC

Active Organization

MENTOR IDAHO, LLC is a Developmental Disabilities Clinic organization located in MERIDIAN, Idaho. NPI 1679148175 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · MERIDIAN, ID

Registration Details

NPI Number
1679148175
Provider Type
Organization
NPI Issued
May 26, 2021 (5.2305901689367 yrs)
Last Updated
May 26, 2021

Practice Information

Address
1001 W BROADWAY AVE APT A104
MERIDIAN, ID, 836423730
Browse ID providers · Browse ZIP 83642
Phone
9512015914
Primary Specialty
Developmental Disabilities Clinic
261QD1600X

Other Developmental Disabilities Clinic Organizations in MERIDIAN, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.