| NPI | 1215648381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARIAH J JENSEN President 208-207-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-02-13 |