| Balanced Idaho Llc | |
|
2176 E Franklin Rd Ste 100 Meridian ID 83642-8009 | |
| (208) 789-3625 | |
| (866) 435-6256 |
| Full Name | Balanced Idaho Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2176 E Franklin Rd Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Jennifer Lynn Mcintyre (OWNER) |
| Authorized Official Contact | 9519705773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Idaho Llc 2176 E Franklin Rd Ste 100 Meridian ID 83642-8009 Ph: (208) 789-3625 | Balanced Idaho Llc 2176 E Franklin Rd Ste 100 Meridian ID 83642-8009 Ph: (208) 789-3625 |
| NPI Number | 1942082730 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942082730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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