MIKE ANDERSON

MERIDIAN, ID
NPI1194033746
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
-- MIKE ANDERSON
618 NW 1ST ST
MERIDIAN, ID 83642-2505
Phone number: 208-407-2077
Mailing Address
-- MIKE ANDERSON
618 NW 1ST ST
MERIDIAN, ID 83642-2505
Phone number: