NPI age
20 years
Enumerated 2005-10-04
Across 173 active skilled nursing facility providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1513121 | |
| 05 (ID) | 804277200 | |
| 01 (ID) | 01289 | 314000000X |
| 05 (NV) | 001989033 |
Single-site organization. Only one practice location on file.
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