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1760438964
BLAINE MANOR
HAILEY, ID
NPI
1760438964
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Entity Type
Organization
Authorized Contact
GAIL GOGLIA
Administrator
208-578-3502
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: ID H6)
Enumeration Date
2006-05-26
Last Update Date
2007-12-18
Business Address
BLAINE MANOR
706 S MAIN ST
HAILEY, ID 83333
Phone number: 208-578-3504
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Mailing Address
BLAINE MANOR
PO BOX 927
HAILEY, ID 83333-0927
Phone number: 208-578-3504
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