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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC

Active Organization

PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC is a Assisted Living Facility organization located in LEWISTON, Idaho. NPI 1295228054 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · LEWISTON, ID

Registration Details

NPI Number
1295228054
Provider Type
Organization
NPI Issued
Jun 7, 2018 (8.2053665901184 yrs)
Last Updated
Jun 7, 2018

Practice Information

Address
2114 VINEYARD AVENUE
LEWISTON, ID, 83501
Browse ID providers · Browse ZIP 83501
Phone
2087434545
Fax
2087432268
Primary Specialty
Assisted Living Facility
310400000X
Additional Specialty
Respite Care
Additional Specialty
Assisted Living Facility

Other Assisted Living Facility Organizations in LEWISTON, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.