| NPI | 1689672495 |
|---|---|
| Doing Business As | LOST RIVERS LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM DAHLMAN CEO 208-527-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID H45) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2013-01-16 |