NPI 1760002869
New Beginnings Residential Care Facility LLC
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
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.