Mentor Idaho, LLC
Mentor Idaho, LLC is a Developmental Disabilities Clinic/Center in Meridian, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1001 W Broadway Ave Apt A104Meridian, ID 83642-3730
Phone: (951) 201-5914
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1679148175 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robin Jacome — Sr. Business Director · (951) 201-5914 |
| NPI enumerated | May 26, 2021 |
| Last updated in NPPES | May 26, 2021 |
| Certification date | May 26, 2021 |
| Mailing address | 9166 Anaheim Pl Ste 200, Rancho Cucamonga, CA 91730-8547 |
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