Elegant Residential Living INC
NPI #1154115400 in Pocatello, Idaho
Provider Information
- NPI Number
- 1154115400
- Entity Type
- Organization
- Organization Name
- Elegant Residential Living INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 9, 2025
- Last Updated
- Apr 9, 2025
Practice Location
Authorized Official
- Name
- JODIE KATSILOMETES
- Title
- ADMINISTRATOR
- Phone
- (208) 478-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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