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Shawnee B Legarreta, RN
Substance Abuse Rehabilitation Facility in Gooding, Idaho
NPI 1235533217

Shawnee B Legarreta is a Substance Abuse Rehabilitation Facility based in Gooding, ID. Shawnee B Legarreta practices in Gooding, ID and has the professional credentials of RN. The NPI Number for Shawnee B Legarreta is 1235533217 and holds a License No. N45891 (Idaho).

The current practice location address for Shawnee B Legarreta is 605 11Th Ave E, Gooding, ID and can be reached out via phone at 208-934-8461 and via fax at 208-934-5437.

Location: 605 11Th Ave E, Gooding, ID, 83330-5368
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Provider Profile Details
NPI Number
1235533217
Provider Name
Shawnee B Legarreta
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
605 11Th Ave E, Gooding, ID, 83330-5368
Phone Number
208-934-8461
Fax Number
208-934-5437
Provider Enumeration Date
10/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
605 11Th Ave E
City
State
Zip
83330-5368
Phone Number
208-934-8461
Fax Number
208-934-5437
person
Provider Business Mailing Address Details
Address
605 11Th Ave E
City
State
Zip
83330-5368
Phone Number
208-934-8461
Fax Number
208-934-5437
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
N45891 (Idaho)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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