Organization
SAGE CREST RETIREMENT VILLAGE LTD
Active
Other names
Sage Crest Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA KOEHN RN (ADMINISTRATOR)
(208) 536-3602
Entity
Organization
Contact information
Practice address
500 CREST LINE DR, BUHL, ID 83316
(208) 536-3602
Mailing address
PO BOX 387, BUHL, ID 83316-0387
(208) 536-3602
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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