Organization
HUMANGOOD IDAHO
Active
Other names
The Terraces of Boise
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN ELLEN VANGELISTO (DIRECTOR OF ACCOUNTS RECEIVABLE)
(949) 463-0893
Entity
Organization
Contact information
Practice address
5301 E WARM SPRINGS AVE, BOISE, ID 83716
(208) 336-5550
Mailing address
1900 HUNTINGTON DR, DUARTE, CA 91010-2694
(818) 247-0420
(949) 528-2434
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/02/2015
Last updated
06/02/2025
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