Organization
PETERSON PLACE AFH INC
Active
Other names
Peterson Place Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI A PETERSON (ADMINISTRATOR)
(509) 979-2773
Entity
Organization
Contact information
Practice address
1027 E HONEYSUCKLE AVE, HAYDEN, ID 83835-9291
(208) 719-9405
(208) 719-9406
Mailing address
1027 E HONEYSUCKLE AVE, HAYDEN, ID 83835-9291
(208) 719-9405
(208) 719-9406
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC1126
ID
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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