Clearwater Care Center, Inc.

NPI 1063635696 - Intermediate Care Facility, Mental Illness - 310500000X

NPI Details
NPI 1063635696
Enumeration Date 04/11/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RENE RENE
Position ADMINISTRATOR
Phone (208) 734-8973
Fax (208) 734-1075
Practice Location
1411 FALLS AVE E
SUITE 703
TWIN FALLS ID, 83301-3455, US
Phone (208) 734-8973
Fax (208) 734-1075
Business Location
1411 FALLS AVE E
SUITE 703
TWIN FALLS ID, 83301-3455, US
Phone (208) 734-8973
Fax (208) 734-1075
Toxanomy
Taxonomy Code 310500000X
License State
License Number
Remove 1063635696 NPI Number
 

According to our database, Clearwater Care Center, Inc. NPI is 1063635696, taxonomy code is 310500000X Clearwater Care Center, Inc. physically located at 1411 Falls Ave E, Twin Falls ID, 83301-3455. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063635696 NPI number is provided on an as is basis without warranty of any kind. 1063635696 is maintained by the National Plan & Provider Enumeration System. The contents of Clearwater Care Center, Inc. are for informational purposes only.