| NPI | 1326166216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA SENGER CFO 208-580-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: ID H5) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |