St Luke's Elks Children's Rehabilitation

NPI #1457751471 in Meridian, Idaho

Provider Information

NPI Number
1457751471
Entity Type
Organization
Organization Name
St Luke's Elks Children's Rehabilitation
Primary Specialty
Rehabilitation Hospital - Children
Enumeration Date
Aug 27, 2014
Last Updated
Aug 27, 2014

Practice Location

Address
3525 E LOUISE DR
Address 2
SUITE 255
State
Idaho
ZIP Code
83642-6302
Phone
(208) 489-5099

Authorized Official

Name
JOHN WELSH
Title
ELKS PROVIDER ENROLLMENT SPECIALIST
Phone
(208) 489-4635

Specialties & Taxonomy Codes

Specialty
Rehabilitation Hospital - ChildrenChildren

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