| NPI | 1073616942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BRUCE KELLEY Occupational Therapist 208-422-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: ID OT 147) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-06-16 |