Ssa Viii, LLC

NPI #1679152326 in Lewiston, Idaho

Provider Information

NPI Number
1679152326
Entity Type
Organization
Organization Name
Ssa Viii, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 7, 2021
Last Updated
Apr 7, 2021

Practice Location

Address
2421 VINEYARD AVE
State
Idaho
ZIP Code
83501-6354
Phone
(208) 743-6500

Authorized Official

Name
LEE FIELD
Title
AUTHORIZED DESIGNEE
Phone
(253) 474-0425

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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