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PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC

Alzheimer Center

Lewiston, Idaho

Provider NPI: 1295228054

Organization Information:
Organization Name:  PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC


Practice Location:
2114 VINEYARD AVENUE  LEWISTON, ID 83501 US
Tel: 208-743-4545  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
N385H00000XRespite Care Facility
Respite Care
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility





ALZHEIMERS JOBS ID - Page 1