Organization
COLFAX OF CASCADIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN C HAMMOND (PRESIDENT)
(208) 401-9600
Entity
Organization
Contact information
Practice address
1150 W FAIRVIEW ST, COLFAX, WA 99111-9580
(208) 401-9600
Mailing address
408 S EAGLE RD STE 205, EAGLE, ID 83616-6079
(208) 401-9600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
06/05/2023
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