| NPI | 1578071270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BINGHAM Administrator 208-756-1043 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC-1002) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |