Organization
CAMAS HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE VINSONHALER (CO-OWNER)
(208) 488-8050
Entity
Organization
Contact information
Practice address
11325 W CAMAS ST, BOISE, ID 83709-1212
(208) 488-8050
Mailing address
11299 W GOLDENSPIRE DR, BOISE, ID 83709-6396
(208) 488-8050
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942848502
—
ID
Enumeration date
09/23/2020
Last updated
09/23/2020
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