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Organization

CLEARWATER CARE CENTER, INC.

Active
Other names
Blake View Home
Organization subpart
No

Provider details

NPI number
Authorized official
RENE STEPHENS (ADMINISTRATOR)
(208) 734-8973
Entity
Organization

Contact information

Practice address
1411 FALLS AVE E STE 703, TWIN FALLS, ID 83301-3455
(208) 734-8973
(208) 734-1075
Mailing address
1411 FALLS AVE E STE 703, TWIN FALLS, ID 83301-3455
(208) 734-8973
(208) 734-1075

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NPI
ID
Enumeration date
08/25/2017
Last updated
07/21/2022
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