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Organization

EMMETT REHABILITATION AND HEALTHCARE, INC

Active
Other names
Emmett Rehabilitation and Healthcare, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICK HOLLOWAY (PRESIDENT)
(208) 375-9964
Entity
Organization

Contact information

Practice address
714 N BUTTE AVE, EMMETT, ID 83617-2725
(208) 365-4425
(208) 365-6989
Mailing address
714 N BUTTE AVE, EMMETT, ID 83617-2725
(208) 365-4425
(208) 365-6989

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
19
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
805218800
ID
Enumeration date
09/17/2007
Last updated
04/29/2010
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