Organization
GENERATIONS ASSISTED LIVING AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER ANNE GRAY RN (ADMIN / OWNER)
(208) 687-0495
Entity
Organization
Contact information
Practice address
13400 N MEYER RD, RATHDRUM, ID 83858-7099
(208) 687-0495
(208) 687-3333
Mailing address
13400 N MEYER RD, RATHDRUM, ID 83858-7099
(208) 687-0495
(208) 687-3333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC-826
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807222300
—
ID
Enumeration date
10/29/2009
Last updated
10/29/2009
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