Individual
MRS. ANITA ROSE HAIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2564 ELIZABETH BLVD, TWIN FALLS, ID 83301-7508
(208) 735-4160
(208) 735-2426
Mailing address
2564 ELIZABETH BLVD, TWIN FALLS, ID 83301-7508
(208) 735-4160
(208) 735-2426
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
50051
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8057857
—
ID
Enumeration date
12/04/2006
Last updated
07/09/2007
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