# ASCEND RESHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982491890
- **Authorized official:** MICHAEL KING (OWNER)
- **Authorized official phone:** (208) 392-2072

## Contact information

- **Practice address:** 3746 N PLANTATION RIVER DR, GARDEN CITY, ID 83703-3086
- **Practice address phone:** (208) 392-2072
- **Mailing address:** 3746 N PLANTATION RIVER DR, GARDEN CITY, ID 83703-3086
- **Mailing address phone:** (208) 392-2072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/23/2025
- **Last updated:** 04/23/2025