# EMPOWERED LIVING SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649019837
- **Authorized official:** GWENDOLYN D BABINEAU (OFFICE MANAGER)
- **Authorized official phone:** (406) 315-3167

## Contact information

- **Practice address:** 580 RUTH AVE, IDAHO FALLS, ID 83401-3133
- **Practice address phone:** (971) 218-4713
- **Mailing address:** 580 RUTH AVE, IDAHO FALLS, ID 83401-3133
- **Mailing address phone:** (406) 315-3167
- **Mailing address fax:** (406) 315-3164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 253J00000X | Foster Care Agency | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2024
- **Last updated:** 05/20/2024