49 Alpha A | |
1035 N Lincoln Ave Jerome ID 83338-1816 | |
(208) 308-0158 | |
Not Available |
Full Name | 49 Alpha A |
---|---|
Speciality | Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children |
Location | 1035 N Lincoln Ave, Jerome, Idaho |
Authorized Official Name and Position | Glen Thorne (PRESIDENT) |
Authorized Official Contact | 2083080158 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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49 Alpha A 1102 Kenyon Rd Twin Falls ID 83301-5648 Ph: (208) 212-4536 | 49 Alpha A 1035 N Lincoln Ave Jerome ID 83338-1816 Ph: (208) 308-0158 |
NPI Number | 1205623527 |
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Provider Enumeration Date | 04/21/2025 |
Last Update Date | 04/21/2025 |
Certification Date | 04/21/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205623527 | NPI | - | NPPES |
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