NPI | 1417720905 |
---|---|
Doing Business As | PARK PLACE ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | LEE JOHNSON Treasurer 208-401-1369 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2023-11-06 |
Last Update Date | 2023-11-06 |