Organization
NORTHWEST BEC-CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN ADAMSON (OWNER)
(208) 637-0999
Entity
Organization
Contact information
Practice address
300 2ND AVE E, TWIN FALLS, ID 83301-6425
(208) 733-2234
(208) 733-2542
Mailing address
PO BOX 5986, TWIN FALLS, ID 83303-5986
(208) 733-2234
(208) 733-2542
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH-222
ID
Other
Enumeration date
02/13/2007
Last updated
07/19/2007
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