| NPI | 1356008825 |
|---|---|
| Doing Business As | SAGE CREST RETIREMENT VILLAGE |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA KOEHN Administrator 208-536-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |