Mike Anderson
Mike Anderson is a Child Intellectual and/or Developmental Disabilities Respite Care in Meridian, Idaho. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
618 NW 1st StMeridian, ID 83642-2505
Phone: (208) 407-2077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Intellectual and/or Developmental Disabilities Respite Care (primary) | Taxonomy 385HR2060X |
|---|
Record details
| NPI number | 1194033746 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 16, 2010 |
| Last updated in NPPES | September 16, 2010 |
| Mailing address | 618 Nw 1st St, Meridian, ID 83642-2505 |