NPI | 1821713710 |
---|---|
Doing Business As | IDFALLS, LLC |
Entity Type | Organization |
Authorized Contact | MACHELLE RAE BERGEMAN General Manager 208-542-6200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2022-10-04 |
Last Update Date | 2022-10-04 |