Blaine Manor
NPI #1760438964 in Hailey, Idaho
Provider Information
- NPI Number
- 1760438964
- Entity Type
- Organization
- Organization Name
- Blaine Manor
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 26, 2006
- Last Updated
- Dec 18, 2007
Practice Location
Authorized Official
- Name
- GAIL GOGLIA, RN
- Title
- ADMINISTRATOR
- Phone
- (208) 578-3502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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