| NPI | 1043995327 |
|---|---|
| Doing Business As | BOULEVARD PINES HEALTH & REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM MILLER Manager 208-969-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-06-15 |