Organization
STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE
Active
Other names
Syringa Chalet Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY G. SESSIONS (ADMINISTRATIVE DIRECTOR)
(208) 785-8402
Entity
Organization
Contact information
Practice address
700 E ALICE ST, BOX 400, BLACKFOOT, ID 83221-4925
(208) 785-1200
(208) 785-8518
Mailing address
700 EAST ALICE STREET, PO BOX 400, BLACKFOOT, ID 83221
(208) 785-1200
(208) 785-8518
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H17
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002826200
—
ID
Enumeration date
12/22/2006
Last updated
02/08/2012
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