Stephan Mangeac

NPI #1912623877 in Nampa, Idaho

Provider Information

NPI Number
1912623877
Entity Type
Individual
Name
Stephan Mangeac
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Oct 12, 2022
Last Updated
Oct 12, 2022

Practice Location

Address
918 W GREENHURST RD
City
Nampa
State
Idaho
ZIP Code
83686-2918
Phone
(208) 412-9263

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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