Individual provider · Type 1 NPI
Mike Anderson
Child Intellectual and/or Developmental Disabilities Respite Care · Meridian, ID
NPI number
1194033746
Active
Practice location
618 NW 1st St
Meridian, ID 83642-2505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: 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.
About NPI 1194033746
Mike Anderson's National Provider Identifier is 1194033746, issued on Sep 16, 2010. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Meridian, ID. The record was last updated on Sep 16, 2010.