| NPI | 1780901967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GRAVES Assistant Director 208-228-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC-960) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |