Organization
EMPOWERED LIVING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN D BABINEAU (OFFICE MANAGER)
(406) 315-3167
Entity
Organization
Contact information
Practice address
580 RUTH AVE, IDAHO FALLS, ID 83401-3133
(971) 218-4713
Mailing address
580 RUTH AVE, IDAHO FALLS, ID 83401-3133
(406) 315-3167
(406) 315-3164
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253J00000X
Foster Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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