NPI age
17 years
Enumerated 2009-04-01
Across 173 active skilled nursing facility providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1902048366-000 |
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Covenant Dove, Llc.
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