| NPI | 1699865527 |
|---|---|
| Doing Business As | GROVE STREET EXTENDED CARE AND LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | REBECCA LOUISE ADAMSON Accounts Receivable Specialist 208-221-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |