| NPI | 1700381217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY TAYLOR Controller 208-947-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MT 31509) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |