Organization
RED ROSES
Active
Other names
virginia rose resident inn
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA E REPP (OWNER, ADMINISTRATOR)
(208) 375-2564
Entity
Organization
Contact information
Practice address
2525 N MAPLE GROVE RD, BOISE, ID 83704-5663
(208) 375-2564
Mailing address
2525 N MAPLE GROVE RD, BOISE, ID 83704-5663
(208) 375-2564
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
RC-599
ID
Other
Enumeration date
12/01/2006
Last updated
06/16/2008
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