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Excellence In Everyone, LLC

Clinic/Center, Developmental Disabilities in Saint Anthony, ID. Organization (NPI-2).

NPI number1154589802
StatusActive
Last updated in NPPESMay 29, 2008

Details

NPI
1154589802
Entity type
Organization (NPI-2)
Legal business name
Excellence In Everyone, LLC
Organization subpart
No
Enumeration date
May 29, 2008
Last updated
May 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD1600X Clinic/Center, Developmental Disabilities––Yes

Practice location

101 N Bridge St
Saint Anthony, ID 83445-5005

Phone 208-390-3652

Mailing address

Po Box 154
Saint Anthony, ID 83445-0154

Phone 208-390-3652

Authorized official

Heather Dawn Bennett
Manager
2083903652

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