Siskiyou Living LLC

NPI #1144381344 in Hayden, Idaho

Provider Information

NPI Number: 1144381344
Entity Type: Organization
Organization Name: Siskiyou Living LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Dec 12, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 9967 N MAPLE ST
City: Hayden
State: Idaho
ZIP Code: 83835-8203
Phone: (208) 762-9856

Authorized Official

Name: GRAHAM CHRISTENSEN
Title: MEMBER
Phone: (208) 762-9856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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