| NPI | 1235598137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLENE MAGEE Administrator 208-267-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC-118) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |