Organization
SISKIYOU LIVING LLC
Active
Other names
Harmony House
Organization subpart
No
Provider details
NPI number
Authorized official
GRAHAM CHRISTENSEN (MEMBER)
(208) 762-9856
Entity
Organization
Contact information
Practice address
9967 N MAPLE ST, HAYDEN, ID 83835-8203
(208) 762-9856
Mailing address
PO BOX 2792, HAYDEN, ID 83835-2792
(208) 762-9856
(208) 762-5696
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
RC-821
ID
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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