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1376205260
LEWISTON NORTH OF CASCADIA, LLC
LEWISTON, ID
NPI
1376205260
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Entity Type
Organization
Authorized Contact
OWEN HAMMOND
President
208-401-9600
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2021-10-08
Last Update Date
2024-05-24
Business Address
LEWISTON NORTH OF CASCADIA, LLC
2852 JUNIPER DR
LEWISTON, ID 83501-4719
Phone number: 208-748-7700
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Mailing Address
LEWISTON NORTH OF CASCADIA, LLC
2205 E RIVERSIDE DR STE 100
EAGLE, ID 83616-7621
Phone number: 208-401-9600
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