| NPI | 1942616073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITA PATIL Meridian Site Manager 208-489-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: ID OT-963) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |