1295228054 PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC

Assisted Living Facility

Active

Basic Information

Organization Name
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC
Enumeration Date
June 7, 2018
Last Update
June 7, 2018
Authorized Official
DEBRA W. LOCKWOOD
PRESIDENT & CHIEF FINANCIAL OFFICER
Phone: (225) 766-3977

Practice Location

Address
2114 VINEYARD AVENUE
LEWISTON, ID 83501
Phone
(208) 743-4545
Fax
(208) 743-2268

Mailing Address

Address
5565 BANKERS AVENUE
BATON ROUGE, LA 70808
Phone
(225) 766-3977
Fax
(225) 766-3988

Specialties & Taxonomies

Specialty Code Classification License State Primary
Alzheimer Center (Dementia Center)
311500000X Alzheimer Center (Dementia Center) N/A N/A No
Respite Care
385H00000X Respite Care N/A N/A No
Assisted Living Facility
310400000X Assisted Living Facility N/A N/A Primary

Frequently Asked Questions

What is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's NPI number?
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's NPI number is 1295228054.
Which doctor has NPI number 1295228054?
The doctor with NPI number 1295228054 is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC.
What is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's practice address?
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's practice address is 2114 VINEYARD AVENUE, LEWISTON, ID, 83501.
Which doctor practices at 2114 VINEYARD AVENUE, LEWISTON, ID, 83501?
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC practices at 2114 VINEYARD AVENUE, LEWISTON, ID, 83501.
What is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's mailing address?
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's mailing address is 5565 BANKERS AVENUE, BATON ROUGE, LA, 70808.
What is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's phone number?
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's phone number is (208) 743-4545.
Who is (208) 743-4545?
(208) 743-4545 is the phone number for PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC.
What is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's specialty?
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC's specialty is Assisted Living Facility.
What type of doctor is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC?
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC is a Assisted Living Facility.
Is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC a Assisted Living Facility?
Yes, PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC is a Assisted Living Facility.
Is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC still practicing?
Yes, PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC is currently practicing.
Is PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC accepting new patients?
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC may be accepting new patients. Please call their office at (208) 743-4545 to inquire about availability.
Is NPI 1295228054 still active?
Yes, NPI 1295228054 is currently active.
Where does PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC practice?
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC practices in LEWISTON, ID.