NPI | 1114326964 |
---|---|
Doing Business As | SHERWOOD VILLAGE ASSISTED LIVING AND MEMORY CARE |
Entity Type | Organization |
Authorized Contact | LEE JOHNSON Treasurer 208-401-1369 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2014-08-18 |
Last Update Date | 2020-01-23 |