| NPI | 1619039732 |
|---|---|
| Other Name | SWING BED |
| Entity Type | Organization |
| Authorized Contact | KAREN J KELLIE President Administrator 208-634-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: ID 11) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |