Organization
GABLES OF AMMON MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEPHENSON (ADMINISTRATOR)
(208) 535-0090
Entity
Organization
Contact information
Practice address
1405 CURLEW DR, AMMON, ID 83406-4764
(208) 535-0090
Mailing address
1405 CURLEW DR, AMMON, ID 83406-4764
(208) 535-0090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC-1013
ID
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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