| NPI | 1669469953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA L KRAUS Administrator 208-677-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID H20) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2009-09-11 |