| NPI | 1578386793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ROSE BRUNO Managing Member 208-353-3965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |