Grace Memory Care at State Street LLC

NPI #1164046413 in Boise, Idaho

Provider Information

NPI Number
1164046413
Entity Type
Organization
Organization Name
Grace Memory Care at State Street LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 2, 2020
Last Updated
Jun 2, 2020

Practice Location

Address
9779 W STATE ST
City
Boise
State
Idaho
ZIP Code
83714-1638
Phone
(208) 853-3337

Authorized Official

Name
LINDA HINES
Title
OWNER
Phone
(208) 853-3337

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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