| NPI | 1740598614 |
|---|---|
| Doing Business As | BEAR LAKE MANOR |
| Entity Type | Organization |
| Authorized Contact | RYAN MESSERLY PFS Director 208-847-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC-738) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |