| NPI | 1710118765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MILLIGAN RN 208-732-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: ID N-33405) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |