| NPI | 1639399793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE COLLEEN CAYWOOD Dietitian 208-847-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: ID D-376) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |