The Nova Residence INC

NPI #1871291062 in Twin Falls, Idaho

Provider Information

NPI Number: 1871291062
Entity Type: Organization
Organization Name: The Nova Residence INC
Primary Specialty: Lodging
Enumeration Date: Feb 17, 2023
Last Updated: Feb 17, 2023

Practice Location

Address: 527 JEFFERSON ST
City: Twin Falls
State: Idaho
ZIP Code: 83301-3822
Phone: (208) 948-0476

Authorized Official

Name: MRS. JENNIFER AGUSTIN
Title: SECRETARY
Phone: (408) 806-7409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lodging	177F00000X	Primary

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