MENTOR IDAHO, LLC is an intermediate care facility mentally retarded in Meridian, ID. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MENTOR IDAHO, LLC NPI is 1376129866. The provider is registered as an organization entity type.
The provider's business location address is:
699 S OTTER AVE
MERIDIAN, ID
ZIP 83642-144
Phone: (951) 201-5914
The provider's authorized official is Robin E Jacome .
The authorized official title is Sr. Business Director and has the following contact phone number (951) 201-5914.
The enumeration date for this NPI number is 3/23/2021 and was last updated on 5/26/2021.