| Heritage Community Charter School | |
|
1803 E Ustick Rd Caldwell ID 83605-6607 | |
| (208) 453-8070 | |
| Not Available |
| Full Name | Heritage Community Charter School |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 1803 E Ustick Rd, Caldwell, Idaho |
| Authorized Official Name and Position | Javier Castaneda (ADMINISTRATOR) |
| Authorized Official Contact | 2084538070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Community Charter School 1803 E Ustick Rd Caldwell ID 83605-6607 Ph: (208) 453-8070 | Heritage Community Charter School 1803 E Ustick Rd Caldwell ID 83605-6607 Ph: (208) 453-8070 |
| NPI Number | 1881074235 |
|---|---|
| Provider Enumeration Date | 06/01/2015 |
| Last Update Date | 06/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881074235 | NPI | - | NPPES |
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