| NPI | 1730859067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI HENDERSON Credentialing Specialist 208-547-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |