| NPI | 1659549525 |
|---|---|
| Doing Business As | WILDWOOD ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | LEWIS CHANDLER Vice President Operations 208-251-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC919) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |