NPI | 1326080599 |
---|---|
Other Name | PORTNEUF CARE CENTER |
Entity Type | Organization |
Authorized Contact | JOHNATHAN WILKER VP Finance & CFO 208-239-1020 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID H12) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2020-08-22 |