Grandmas Care Home INC

NPI #1518928282 in Boise, Idaho

Provider Information

NPI Number
1518928282
Entity Type
Organization
Organization Name
Grandmas Care Home INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
8418 WEST LAJOLLA STREET
City
Boise
State
Idaho
ZIP Code
83709-5194
Phone
(208) 362-9800

Authorized Official

Name
RANDALL S BECK
Title
SECRETARY TREASURER
Phone
(208) 362-9800

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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