NPI | 1588867196 |
---|---|
Entity Type | Organization |
Authorized Contact | NELIA HARTWIG Administrator Owner 208-743-6919 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC785) |
Enumeration Date | 2007-06-09 |
Last Update Date | 2020-08-22 |