Organization
LIFE CONNECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYCEE C TEETER R.N. (OWNER)
(208) 358-2284
Entity
Organization
Contact information
Practice address
2550 ELIZABETH BLVD., TWIN FALLS, ID 83301
(208) 358-2284
Mailing address
2550 ELIZABETH BLVD., TWIN FALLS, ID 83301
(208) 358-2284
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
W102087
ID
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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