Northwest Children's Home

NPI #1760014872 in Lewiston, Idaho

Provider Information

NPI Number: 1760014872
Entity Type: Organization
Organization Name: Northwest Children's Home
Primary Specialty: Clinic/Center
Enumeration Date: Feb 6, 2020
Last Updated: Feb 6, 2020

Practice Location

Address: 602 13TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2586
Phone: (208) 746-3388

Authorized Official

Name: JENNIFER SKEELS
Title: BUSINESS OFFICE MANAGER
Phone: (208) 743-9404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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