Provider Demographics
NPI:1295853331
Name:WDB, INC.
Entity Type:Organization
Organization Name:WDB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:TESS
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-734-4344
Mailing Address - Street 1:141 SHOSHONE ST N
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-6150
Mailing Address - Country:US
Mailing Address - Phone:208-734-4344
Mailing Address - Fax:208-736-8582
Practice Address - Street 1:141 SHOSHONE ST N
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-6150
Practice Address - Country:US
Practice Address - Phone:208-734-4344
Practice Address - Fax:208-736-8582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care