NPI 1063635696
Clearwater Care Center, INC.
Practice location
- Address
- 1411 Falls Ave E Suite 703, Twin Falls, ID 83301-3455
- Phone
- (208) 734-8973
- Fax
- (208) 734-1075
Authorised official
- Name
- Rene Stephens
- Title
- Administrator
- Phone
- (208) 734-8973
Registered specialties
Mental Illness Intermediate Care Facility
Primary
Registry record
- NPI
- 1063635696
- Entity type
- Organization
- NPI issued
- 11 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.