Edwise LLC
NPI #1811153844 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1811153844
- Entity Type
- Organization
- Organization Name
- Edwise LLC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Jul 30, 2008
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 132 FALLS AVE W
- Address 2
- #103
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3359
- Phone
- (208) 308-2410
Authorized Official
- Name
- MS. PAMELA DAWN HOUSTON-POWELL, ED.S
- Title
- CO-PRESIDENT
- Phone
- (208) 308-2410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Day Training, Developmentally Disabled Services |
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