NPI | 1700245594 |
---|---|
Doing Business As | SHAW MOUNTAIN OF CASCADIA |
Entity Type | Organization |
Authorized Contact | OWEN HAMMOND President 208-401-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2016-02-22 |
Last Update Date | 2024-01-23 |