| NPI | 1144885922 |
|---|---|
| Doing Business As | THE GROVE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | LEE JOHNSON Treasurer 208-401-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-02-13 |