NPI 1609695477
Realcovery LLC
Practice location
- Address
- 2091 4th Ave E, Twin Falls, ID 83301-7405
- Phone
- (208) 731-7354
- Mailing address
- 2067 4th Ave E, Twin Falls, ID 83301-7405
Authorised official
- Name
- Taylor Watte
- Title
- Administrator
- Phone
- (503) 989-9180
Registered specialties (2)
Lodging Provider
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1609695477
- Entity type
- Organization
- NPI issued
- 8 Oct 2024
- Record last updated
- 8 Oct 2024
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.