St. Fillan’s, Llc

NPI Provider: 1750711362
Contact Name: VANDERBEEK ANDREW
Position: ADMINISTRATOR/OWNER
Phone: (208) 871-4552

St. Fillan’s, Llc Information:

St. Fillan’s, Llc organization have npi 1750711362, taxonomy code is 253Z00000X with license number is RHA-4979 in . This Business address located in 226 E 5TH ST, MERIDIAN, ID 83642 Idaho.

Practice Location
Address: 226 E 5TH ST, MERIDIAN, ID 83642
Phone: (208) 871-4552

Business Location
Address: 226 E 5TH ST, MERIDIAN, ID 83642
Phone: (208) 871-4552
Fax: (208) 855-0866

Taxonomy

Taxonomy Code: 253Z00000X

License Number: RHA-4979

License Number of State: ID

Primary Taxonomy Switch: Y

Enumeration Date: 11/18/13

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