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Preferred Community Homes
Intellectual Disabilities Intermediate Care Facility in Wendell, Idaho
NPI 1184751935

Preferred Community Homes is a Intellectual Disabilities Intermediate Care Facility based in Salem, ID. Preferred Community Homes practices in Wendell, ID. The NPI Number for Preferred Community Homes is 1184751935 and holds a License No. (Idaho).

The current practice location address for Preferred Community Homes is 2028 E 2975 S, Wendell, ID and can be reached out via phone at 208-536-2004.

Location: 2028 E 2975 S, Wendell, ID, 97302-9819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184751935
Provider Name
Preferred Community Homes
Credential
Provider Entity Type
Organization
Address
2028 E 2975 S, Wendell, ID, 97302-9819
Phone Number
208-536-2004
Fax Number
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LT931ID 05 AK
16-89250 05 NV
institution
Provider Business Practice Location Address Details
Address
2028 E 2975 S
City
Wendell
State
Idaho
Zip
83355-3119
Phone Number
208-536-2004
Fax Number
person
Provider Business Mailing Address Details
Address
2028 E 2975 S
City
Wendell
State
Idaho
Zip
83355-3119
Phone Number
208-536-2004
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(Idaho)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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Similar Doctors in Wendell, Idaho:

institution
Preferred Community Homes, Llc.
NPI 1801923651
Intellectual Disabilities Intermediate Care Facility
615 2Nd Ave W,
WENDELL, ID
83355-5089
208-536-2042
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