St Luke's Elks Childrens Rehabilitation

NPI #1942616073 in Meridian, Idaho

Provider Information

NPI Number: 1942616073
Entity Type: Organization
Organization Name: St Luke's Elks Childrens Rehabilitation
Primary Specialty: Clinic/Center - Rehabilitation
Enumeration Date: Jul 9, 2014
Last Updated: Jul 9, 2014

Practice Location

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

Authorized Official

Name: KAVITA PATIL
Title: MERIDIAN SITE MANAGER
Phone: (208) 489-5099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X	Primary

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