| NPI | 1285229039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN WHEATLEY Owner 208-241-1598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251J00000X Nursing Care |
| 3747A0650X Technician, Attendant Care Provider | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-04 |