NPI | 1144663543 |
---|---|
Doing Business As | WILLOW VALLEY |
Entity Type | Organization |
Authorized Contact | PAUL SMART C.F.O. 208-852-0137 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2013-04-16 |
Last Update Date | 2021-07-21 |