NPI | 1649692609 |
---|---|
Doing Business As | MADISON CARRIAGE COVE SHORT TERM REHABILITATION |
Entity Type | Organization |
Authorized Contact | TROY V BELL CEO President 208-221-0481 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID 135140) |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
Enumeration Date | 2014-01-10 |
Last Update Date | 2020-01-29 |