| NPI | 1881415289 |
|---|---|
| Doing Business As | TABLE ROCK SENIOR LIVING AT PARK PLACE |
| Entity Type | Organization |
| Authorized Contact | ANDREW RIDER LLC Manager 208-207-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |