49 Alpha LLC
NPI #1275343683 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1275343683
- Entity Type
- Organization
- Organization Name
- 49 Alpha LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 8, 2025
- Last Updated
- Sep 9, 2025
Practice Location
- Address
- 1102 KENYON RD
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-5648
- Phone
- (208) 212-4536
Authorized Official
- Name
- MR. GLEN THORNE JR.
- Title
- CEO
- Phone
- (208) 212-4536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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