| NPI | 1851544084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GHRAMM Owner 208-765-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: ID RC-762) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: ID RC-779) |
| 310400000X Assisted Living Facility (Licence: ID RC-869) | |
| 310400000X Assisted Living Facility (Licence: ID RC-934) | |
| 310400000X Assisted Living Facility (Licence: ID RC-853) | |
| 310400000X Assisted Living Facility (Licence: ID RC-881) | |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |