Project Patch

NPI #1487514113 in Garden Valley, Idaho

Provider Information

NPI Number: 1487514113
Entity Type: Organization
Organization Name: Project Patch
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 14, 2025
Last Updated: Nov 14, 2025

Practice Location

Address: 116 BRUSH CREEK RD
City: Garden Valley
State: Idaho
ZIP Code: 83622-1011
Phone: (208) 739-8991

Authorized Official

Name: JILL WHITE
Title: INTERN
Phone: (208) 739-8991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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