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Provident Foundation - Wedgewood Terrace Llc
Respite Care in Lewiston, Idaho
NPI 1295228054

Provident Foundation - Wedgewood Terrace Llc is a Respite Care based in Baton Rouge, ID. Provident Foundation - Wedgewood Terrace Llc practices in Lewiston, ID. The NPI Number for Provident Foundation - Wedgewood Terrace Llc is 1295228054 and holds a License No. (Idaho).

The current practice location address for Provident Foundation - Wedgewood Terrace Llc is 2114 Vineyard Avenue, Lewiston, ID and can be reached out via phone at 208-743-4545 and via fax at 208-743-2268. You can also correspond with Provident Foundation - Wedgewood Terrace Llc through the mailing address at 5565 BANKERS AVENUE, BATON ROUGE, LA - 70808 (mailing address contact number: 225-766-3977).

Location: 2114 Vineyard Avenue, Lewiston, ID, 70808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295228054
Provider Name
Provident Foundation - Wedgewood Terrace Llc
Credential
Provider Entity Type
Organization
Address
2114 Vineyard Avenue, Lewiston, ID, 70808
Phone Number
208-743-4545
Fax Number
208-743-2268
Provider Enumeration Date
06/07/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2114 Vineyard Avenue
City
Lewiston
State
Idaho
Zip
83501
Phone Number
208-743-4545
Fax Number
208-743-2268
person
Provider Business Mailing Address Details
Address
5565 Bankers Avenue
City
Baton Rouge
State
Louisiana
Zip
70808
Phone Number
225-766-3977
Fax Number
225-766-3988
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Alzheimer Center (Dementia Center)
Speciality
-
Taxonomy
311500000X
License No.
()
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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