Organization
ELMORE MEDICAL CENTER LTC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRICIA SENGER (CFO)
(208) 580-2661
Entity
Organization
Contact information
Practice address
895 N 6TH E, MTN HOME, ID 83647-2207
(208) 580-2661
(208) 587-8406
Mailing address
895 N 6TH E, MTN HOME, ID 83647-2207
(208) 580-2661
(208) 587-8406
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
H5
ID
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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