Organization
GOODING REHAB AND LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY LYNN SCHOONOVER (ADMINISTRATOR)
(208) 934-5601
Entity
Organization
Contact information
Practice address
1220 MONTANA ST, GOODING, ID 83330-1856
(208) 934-5601
(208) 934-8154
Mailing address
1220 MONTANA ST, GOODING, ID 83330-1856
(208) 934-5601
(208) 934-8154
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
38
ID
Other
Enumeration date
01/03/2006
Last updated
08/22/2020
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