Healthcare Provider Details

I. General information

NPI: 1881735041
Provider Name (Legal Business Name): SOLARIDY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E FRANKLIN RD
MERIDIAN ID
83642-2911
US

IV. Provider business mailing address

312 E FRANKLIN RD
MERIDIAN ID
83642-2911
US

V. Phone/Fax

Practice location:
  • Phone: 208-895-8822
  • Fax: 208-884-4116
Mailing address:
  • Phone: 208-895-8822
  • Fax: 208-884-4116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERESA LORENZEN MEEKS
Title or Position: CO-OWNER
Credential:
Phone: 208-895-8822