| NPI | 1659461531 |
|---|---|
| Other Name | BEAR LAKE MEMORIAL SWING BED |
| Entity Type | Organization |
| Authorized Contact | RYAN MESSERLY PFS Director 208-847-4429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-05-19 |