| NPI | 1366860660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED C MORTON Medical Director 208-227-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2015-12-11 |