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 |