| NPI | 1346864857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MILES Owner 208-339-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |