OrganizationActive Family ChiropracticChiropractorChiropractic ProvidersPractice Address2973 N Eagle Rd Ste 100, Meridian, ID 83646-6251(208) 968-9688PECOS EnrollmentBased on the most recent information from CMS, provider Active Family Chiropractic does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1376107821Provider TypeOrganizationFull NameActive Family ChiropracticSubpartNoEnumeration Date4/30/2019Last Updated4/26/2021Contact InformationPractice LocationPractice Address2973 N Eagle Rd Ste 100, Meridian, ID 83646-6251Phone(208) 968-9688FaxUnlisted FaxMailing LocationMailing Address1002 E Legacy View Dr, Meridian, ID 83646-1764Phone(208) 968-9688FaxUnlisted FaxAuthorized OfficialNamePerry, Stephen Richard (Owner)Phone(208) 968-9688Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted Issuer