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Organization

MAGIC VALLEY REHABILITATION SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY CHARLES CRUMRINE (EXECUTIVE DIRECTOR)
(208) 734-4112
Entity
Organization

Contact information

Practice address
484 EASTLAND DRIVE SOUTH, TWIN FALLS, ID 83301-7958
(208) 734-4112
(208) 734-1514
Mailing address
484 EASTLAND DRIVE SOUTH, TWIN FALLS, ID 83301-7958
(208) 734-4112
(208) 734-1514

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
5MVRS020
ID
283Q00000X
Psychiatric Hospital
Primary

Other

Enumeration date
01/11/2006
Last updated
09/11/2025
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