Mentor Idaho, LLC
NPI #1679148175 in Meridian, Idaho
Provider Information
- NPI Number
- 1679148175
- Entity Type
- Organization
- Organization Name
- Mentor Idaho, LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- May 26, 2021
- Last Updated
- May 26, 2021
Practice Location
Authorized Official
- Name
- ROBIN JACOME
- Title
- SR. BUSINESS DIRECTOR
- Phone
- (951) 201-5914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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