Idaho Falls North of Cascadia, LLC
NPI #1972220473 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1972220473
- Entity Type
- Organization
- Organization Name
- Idaho Falls North of Cascadia, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 25, 2022
- Last Updated
- May 24, 2024
Practice Location
- Address
- 840 E ELVA ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-2801
- Phone
- (208) 401-9600
Authorized Official
- Name
- OWEN HAMMOND
- Title
- PRESIDENT
- Phone
- (208) 401-9600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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