Gooding Rehab and Living Center

NPI #1023096757 in Gooding, Idaho

Provider Information

NPI Number
1023096757
Entity Type
Organization
Organization Name
Gooding Rehab and Living Center
Primary Specialty
Intermediate Care Facility, Mental Illness
Enumeration Date
Jan 3, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1220 MONTANA ST
State
Idaho
ZIP Code
83330-1856
Phone
(208) 934-5601

Authorized Official

Name
MS. STACY LYNN SCHOONOVER
Title
ADMINISTRATOR
Phone
(208) 934-5601

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Mental Illness

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