Moscow of Olympus LLC

NPI #1689391161 in Moscow, Idaho

Provider Information

NPI Number
1689391161
Entity Type
Organization
Organization Name
Moscow of Olympus LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 25, 2022
Last Updated
Feb 23, 2023

Practice Location

Address
640 N EISENHOWER ST
City
Moscow
State
Idaho
ZIP Code
83843-9588
Phone
(208) 401-9600

Authorized Official

Name
HEATHER BAIRD
Title
ASSISTANT GENERAL COUNSEL
Phone
(208) 401-9600

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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