Clearwater Care Center, Inc.

NPI #1790202208 in Twin Falls, Idaho

Provider Information

NPI Number
1790202208
Entity Type
Organization
Organization Name
Clearwater Care Center, Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Aug 25, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
1411 FALLS AVE E STE 703
State
Idaho
ZIP Code
83301-3455
Phone
(208) 734-8973

Authorized Official

Name
RENE STEPHENS
Title
ADMINISTRATOR
Phone
(208) 734-8973

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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