Organization
MARLA DAWN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA PALMER (OWNER)
(208) 316-3399
Entity
Organization
Contact information
Practice address
798 LAWRENCE AVE, TWIN FALLS, ID 83301-3635
(208) 324-6776
Mailing address
899 LAWRENCE AVE, TWIN FALLS, ID 83301-3638
(208) 324-6776
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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