PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC

Assisted Living Facility

NPI: 1295228054Organization

Specialties, Licenses & Credentials

Alzheimer Center (Dementia Center)

Alzheimer Center (Dementia Center)

Code: 311500000X

Respite Care

Code: 385H00000X

Assisted Living FacilityPrimary

Assisted Living Facility

Code: 310400000X

Contact & Hours

Address: 2114 VINEYARD AVENUE
LEWISTON, ID 83501
Phone: (208) 743-4545

Quick Facts

NPI: 1295228054
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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