| NPI | 1730823816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUKE MUTUA NYARECHA Administrator 208-440-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |