| NPI | 1073382487 |
|---|---|
| Doing Business As | TABLE ROCK SENIOR LIVING AT PARAMOUNT |
| Entity Type | Organization |
| Authorized Contact | LEE JOHNSON Treasurer 208-401-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-07-26 |