| NPI | 1083782593 |
|---|---|
| Other Name | VIRGINIA ROSE RESIDENT INN |
| Entity Type | Organization |
| Authorized Contact | RHONDA E REPP Owner, Administrator 208-375-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: ID rc-599) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-06-16 |