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Organization

SANOURA HAVEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAITLIN PETERS RN (OWNER/OPERATOR, RN)
(208) 402-8769
Entity
Organization

Contact information

Practice address
110 12TH AVE S STE 201, NAMPA, ID 83651-3934
(208) 402-8769
(208) 266-5610
Mailing address
PO BOX 101, NAMPA, ID 83653-0101
(208) 402-8769

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency

Other

Enumeration date
08/07/2025
Last updated
01/18/2026
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