IDAHO MEMORY & AGING CENTER PLLC

BOISE, ID
NPI1730528548
Entity TypeOrganization
Authorized ContactABHILASH K DESAI
Medical Director
617-922-4957
Organization Subpart ?No
Primary Taxonomy2084P0805X 
(Licence: ID  M-12079)
Enumeration Date2013-06-14
Last Update Date2013-07-19
Business Address
IDAHO MEMORY & AGING CENTER PLLC
413 N ALLUMBAUGH ST STE# 101
BOISE, ID 83704-9212
Phone number: 617-922-4957
Mailing Address
IDAHO MEMORY & AGING CENTER PLLC
413 N ALLUMBAUGH ST STE# 101
BOISE, ID 83704-9212
Phone number: 617-922-4957
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