IndividualActive
Mike Anderson
NPI 1194033746 · Child Intellectual and/or Developmental Disabilities Respite Care · Meridian, ID
Provider details
- NPI number
- 1194033746
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
618 Nw 1st St
Meridian, ID 83642-2505
Registry dates
- Enumerated
- 2010-09-16
- Last updated
- 2010-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.