| NPI | 1285624627 |
|---|---|
| Other Name | IDAHO STATE VETERANS HOME - BOISE |
| Entity Type | Organization |
| Authorized Contact | TRACY SCHANER Division Administrator 208-780-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID 93) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-03-07 |