| NPI | 1467641720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A KEITH HOLLOWAY President 208-375-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID 19) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-29 |