| NPI | 1679562011 |
|---|---|
| Other Name | IDAHO STATE VETERANS HOME - LEWISTON |
| Entity Type | Organization |
| Authorized Contact | DAVID BRASUELL Administrator 208-334-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ID 91) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2023-03-07 |