| NPI | 1396427266 |
|---|---|
| Doing Business As | MAKENNA FARMS LLC |
| Entity Type | Organization |
| Authorized Contact | MAKENNA FOSTER Clinical Director 208-780-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-04-08 |