National Provider Identifier Database

MIKE ANDERSON
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

MIKE ANDERSON
618 NW 1ST ST
MERIDIAN, ID83642-2505
Phone: 208-407-2077
Fax:
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for MIKE ANDERSON

NPI Number 1194033746
Credentials
Entity Individual
Enumeration date 09/16/2010
Last updated 09/16/2010 - About 16 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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