Organization
REALCOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR WATTE (ADMINISTRATOR)
(503) 989-9180
Entity
Organization
Contact information
Practice address
2091 4TH AVE E, TWIN FALLS, ID 83301-7405
(208) 731-7354
Mailing address
2067 4TH AVE E, TWIN FALLS, ID 83301-7405
(503) 989-9180
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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