| NPI | 1457620973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER L TUELLER Secretary 208-207-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NV 410AGC-32) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2025-06-11 |