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CLEARWATER CARE CENTER, INC.

Intermediate Care Facility, Mental Illness

Twin Falls, Idaho

Provider NPI: 1710100326

Organization Information:
Organization Name:  CLEARWATER CARE CENTER, INC.


Practice Location:
1411 FALLS AVE E SUITE 703 TWIN FALLS, ID 83301 US
Tel: 208-734-8973  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
ID

Other Provider Identifiers:

IssuerNumberStateType
8067840ID05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS ID - Page 1



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