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1124335476
LINCOLN COUNTY CARE CENTER LLC
SHOSHONE, ID
NPI
1124335476
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Entity Type
Organization
Authorized Contact
JAMES B EVERTON
CEO
208-233-4673
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: ID 20)
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
LINCOLN COUNTY CARE CENTER LLC
511 E 4TH ST
SHOSHONE, ID 83352-5380
Phone number: 208-886-2228
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Mailing Address
LINCOLN COUNTY CARE CENTER LLC
275 S 5TH AVE LOWER LEVEL
POCATELLO, ID 83201-6400
Phone number: 208-233-4673
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