Whalio Doctors

NPI 1104954510

Sugar Salem School District

Organisation Local Education Agency (LEA) Sugar City, ID

Practice location

Address
102 North Park Ave, Sugar City, ID 83448
Phone
(208) 356-9351
Fax
(208) 356-0895
Mailing address
104 E Fairview Ave STE 201, Meridian, ID 83642-1733

Authorised official

Name
Todd Kenneth Levesque
Title
Systems Manager
Phone
(208) 922-3093

Registered specialties

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X

Registry record

NPI
1104954510
Entity type
Organization
NPI issued
28 Feb 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.