Organization
BOISE SH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BAE (VP OF OPS SUPPORT)
(971) 804-4195
Entity
Organization
Contact information
Practice address
1093 S HILTON ST, BOISE, ID 83705-1971
(208) 345-4460
Mailing address
560 1ST ST STE 104, LAKE OSWEGO, OR 97034-3273
(971) 804-4195
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/19/2026
Last updated
08/19/2026
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