Organization
SECURE HOUSING LLC
Active
Other names
Magic Valley Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT FRANKLIN BURPEE ALA (ADMINISTRATOR)
(208) 221-4721
Entity
Organization
Contact information
Practice address
210 N IDAHO ST, WENDELL, ID 83355-5037
(208) 221-4721
(208) 536-5570
Mailing address
PO BOX 306, WENDELL, ID 83355-0306
(208) 221-4721
(208) 536-5570
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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