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Organization

IDAHO VACATION RENTALS LLC

Active
Parent organization
IDAHO VACATION RENTALS LLC
Other names
JC Safe and Sober Living Facility
Organization subpart
Yes

Provider details

NPI number
Legal business name
IDAHO VACATION RENTALS LLC
Authorized official
DAREN CLINT LONG (PROGRAM MANAGER)
(208) 360-9992
Entity
Organization

Contact information

Practice address
227 W 19TH ST, IDAHO FALLS, ID 83402-4438
(208) 360-9992
Mailing address
673 10TH ST, IDAHO FALLS, ID 83404-5002
(208) 360-9992

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/03/2024
Last updated
09/03/2024
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