Organization
PAYETTE OF CASCADIA, LLC
Active
Other names
Payette Healthcare of Cascadia
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN HAMMOND (PRESIDENT)
(208) 401-9600
Entity
Organization
Contact information
Practice address
1019 3RD AVENUE SOUTH, PAYETTE, ID 83661-2832
(208) 678-9474
Mailing address
408 S EAGLE RD, SUITE 205, EAGLE, ID 83616
(949) 416-6633
(844) 362-3862
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
05/24/2024
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