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Organization

ETOSHA ASSISTED LIVING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBORAH O COVEY (OWNER, DIRECTOR OF OPERATIONS)
(530) 510-0283
Entity
Organization

Contact information

Practice address
243 N 300 E, RUPERT, ID 83350-9491
(208) 436-3332
(208) 436-1289
Mailing address
243 N 300 E, RUPERT, ID 83350-9491
(530) 510-0283
(208) 436-1289

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/20/2020
Last updated
09/20/2020
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