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Preferred Community Homes, Llc.
Intellectual Disabilities Intermediate Care Facility in Wendell, Idaho
NPI 1801923651

Preferred Community Homes, Llc. is a Intellectual Disabilities Intermediate Care Facility based in Salem, ID. Preferred Community Homes, Llc. practices in Wendell, ID. The NPI Number for Preferred Community Homes, Llc. is 1801923651 and holds a License No. (Idaho).

The current practice location address for Preferred Community Homes, Llc. is 615 2Nd Ave W, Wendell, ID and can be reached out via phone at 208-536-2042.

Location: 615 2Nd Ave W, Wendell, ID, 97302-9819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801923651
Provider Name
Preferred Community Homes, Llc.
Credential
Provider Entity Type
Organization
Address
615 2Nd Ave W, Wendell, ID, 97302-9819
Phone Number
208-536-2042
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
LT653ID 05 AK
institution
Provider Business Practice Location Address Details
Address
615 2Nd Ave W
City
Wendell
State
Idaho
Zip
83355-5089
Phone Number
208-536-2042
Fax Number
person
Provider Business Mailing Address Details
Address
615 2Nd Ave W
City
Wendell
State
Idaho
Zip
83355-5089
Phone Number
208-536-2042
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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institution
Preferred Community Homes
NPI 1184751935
Intellectual Disabilities Intermediate Care Facility
2028 E 2975 S,
WENDELL, ID
83355-3119
208-536-2004
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