Moscow North of Cascadia, LLC

NPI #1811614332 in Moscow, Idaho

Provider Information

NPI Number
1811614332
Entity Type
Organization
Organization Name
Moscow North of Cascadia, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 25, 2022
Last Updated
Jan 23, 2024

Practice Location

Address
640 N EISENHOWER ST
City
Moscow
State
Idaho
ZIP Code
83843-9588
Phone
(208) 401-9500

Authorized Official

Name
OWEN HAMMOND
Title
PRESIDENT
Phone
(208) 401-9600

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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