Whalio Doctors

NPI 1760002869

New Beginnings Residential Care Facility LLC

Organisation Assisted Living Facility Ammon, ID

Practice location

Address
2105 Avocet Dr, Ammon, ID 83406-6606
Phone
(208) 523-5371
Fax
(208) 524-6282
Mailing address
2416 Mesa St, Idaho Falls, ID 83401-3335

Authorised official

Name
Brett Waters
Title
President
Phone
(208) 523-5371

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X

Registry record

NPI
1760002869
Entity type
Organization
NPI issued
20 Apr 2020
Record last updated
20 Apr 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.