| NPI | 1760265029 |
|---|---|
| Former Legal Business Name | R & V SHELTER HOME |
| Entity Type | Organization |
| Authorized Contact | CHRISTY WATSON Administrator 208-880-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |