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
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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