| NPI | 1619362381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BRAZIER Occupational Therapy Assistant 208-873-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME OA2577) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |