| NPI | 1477260636 |
|---|---|
| Doing Business As | HEIRLOOM HOUSE |
| Doing Business As | BROOKLYN HOUSE |
| Entity Type | Organization |
| Authorized Contact | DARRYL RAY RUFFNER Owner/Administrator 208-813-6449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 315D00000X Hospice, Inpatient |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2023-07-01 |