Idaho Falls of Cascadia, LLC
NPI #1467113233 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1467113233
- Entity Type
- Organization
- Organization Name
- Idaho Falls of Cascadia, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 4, 2022
- Last Updated
- May 24, 2024
Practice Location
- Address
- 3111 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7534
- Phone
- (208) 529-0067
Authorized Official
- Name
- OWEN HAMMOND
- Title
- PRESIDENT
- Phone
- (208) 401-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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