| NPI | 1003803024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. KEDDINGTON Administrator 208-678-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID 42) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2008-06-13 |