| NPI | 1336901834 |
|---|---|
| Doing Business As | SOUTHGATE SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | AMBER L TUELLER Secretary 208-369-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-11-17 |