Peterson Place Afh INC

NPI #1235675380 in Hayden, Idaho

Provider Information

NPI Number
1235675380
Entity Type
Organization
Organization Name
Peterson Place Afh INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 13, 2017
Last Updated
Jan 13, 2017

Practice Location

Address
1027 E HONEYSUCKLE AVE
City
Hayden
State
Idaho
ZIP Code
83835-9291
Phone
(208) 719-9405

Authorized Official

Name
HEIDI A PETERSON
Title
ADMINISTRATOR
Phone
(509) 979-2773

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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