Grangeville of Cascadia, LLC
NPI #1740942622 in Grangeville, Idaho
Provider Information
- NPI Number
- 1740942622
- Entity Type
- Organization
- Organization Name
- Grangeville of Cascadia, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 8, 2021
- Last Updated
- May 24, 2024
Practice Location
- Address
- 410 E NORTH 2ND ST
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530-2258
- Phone
- (208) 983-1131
Authorized Official
- Name
- OWEN C HAMMOND
- Title
- PRESIDENT
- Phone
- (208) 401-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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