Organization
BONAVENTURE PLACE RETIREMENT & ASSISTED LIVING COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLEY D HAMILTON (OWNER)
(503) 566-5715
Entity
Organization
Contact information
Practice address
5850 N FIVE MILE RD, BOISE, ID 83713-5466
(208) 429-6544
(208) 429-6739
Mailing address
5850 N FIVE MILE RD, BOISE, ID 83713-5466
(208) 429-6544
(208) 429-6739
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
ID
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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