| NPI | 1639349004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA R VIALPANDO Administrator 208-378-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC899) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |