Place of Food

NPI #1477044543 in Kimberly, Idaho

Provider Information

NPI Number
1477044543
Entity Type
Organization
Organization Name
Place of Food
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
May 24, 2018
Last Updated
May 24, 2018

Practice Location

Address
1131 COLE ST
State
Idaho
ZIP Code
83341-5138
Phone
(208) 490-2778

Authorized Official

Name
KATIE WYATT
Title
OWNER/CEO
Phone
(208) 490-2778

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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