Edwise Llc | |
132 Falls Ave W #103 Twin Falls ID 83301-3359 | |
(208) 308-2410 | |
(208) 326-4343 |
Full Name | Edwise Llc |
---|---|
Speciality | Day Training, Developmentally Disabled Services |
Location | 132 Falls Ave W, Twin Falls, Idaho |
Authorized Official Name and Position | Pamela Dawn Houston-powell (CO-PRESIDENT) |
Authorized Official Contact | 2083082410 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edwise Llc 1511 Busch Ct Twin Falls ID 83301-3476 Ph: (208) 308-2410 | Edwise Llc 132 Falls Ave W #103 Twin Falls ID 83301-3359 Ph: (208) 308-2410 |
NPI Number | 1811153844 |
---|---|
Provider Enumeration Date | 07/30/2008 |
Last Update Date | 07/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811153844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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