Shoshone Rehab and Living Center

NPI #1750309795 in Shoshone, Idaho

Provider Information

NPI Number
1750309795
Entity Type
Organization
Organization Name
Shoshone Rehab and Living Center
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 18, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
511 EAST 4TH STREET
State
Idaho
ZIP Code
83352
Phone
(208) 886-2228

Authorized Official

Name
MRS. SHARON RAE SULLIVAN
Title
BUSINESS OFFICE MANAGER
Phone
(208) 886-2228

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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