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1770890022
MINI-CASSIA CARE CENTER LLC
BURLEY, ID
NPI
1770890022
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Entity Type
Organization
Authorized Contact
JAMES B EVERTON
CEO
208-233-4673
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: ID 42)
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
MINI-CASSIA CARE CENTER LLC
1729 MILLER AVE
BURLEY, ID 83318-2338
Phone number: 208-678-9474
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Mailing Address
MINI-CASSIA CARE CENTER LLC
275 S 5TH AVE LOWER LEVEL
POCATELLO, ID 83201-6400
Phone number: 208-233-4673
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