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

GEM STATE DEVELOPMENTAL CENTER LLC

Active Organization

GEM STATE DEVELOPMENTAL CENTER LLC is a Behavioral Health, Residential organization located in MERIDIAN, Idaho. NPI 1760523062 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · MERIDIAN, ID

Registration Details

NPI Number
1760523062
Provider Type
Organization
NPI Issued
Feb 9, 2007 (19.543017998456 yrs)
Last Updated
Oct 22, 2019
Licenses
3GEM043 (ID)
4GEM014 (ID)

Practice Information

Address
818 NW 15TH ST
MERIDIAN, ID, 836423724
Browse ID providers · Browse ZIP 83642
Phone
2088885566
Fax
2088885578
Primary Specialty
Behavioral Health, Residential
251C00000X

Other Behavioral Health, Residential 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.