NPI 1871291062

The Nova Residence INC

Organisation Lodging Provider Twin Falls, ID

Practice location

Address: 527 Jefferson St, Twin Falls, ID 83301-3822
Phone: (208) 948-0476
Mailing address: 148 Blue Lakes Blvd N # 193, Twin Falls, ID 83301-5235

Authorised official

Name: Jennifer Agustin
Title: Secretary
Phone: (408) 806-7409

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in Idaho →

Registry record

NPI: 1871291062
Entity type: Organization
NPI issued: 17 Feb 2023
Record last updated: 17 Feb 2023

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.