Organization
UNIQUE SR. CARE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELIA HARTWIG (ADMINISTRATOR OWNER)
(208) 743-6919
Entity
Organization
Contact information
Practice address
1639 BIRCH AVE, LEWISTON, ID 83501-5959
(208) 746-1077
Mailing address
3634 20TH ST, LEWISTON, ID 83501-6168
(208) 743-6919
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC785
ID
Other
Enumeration date
06/09/2007
Last updated
08/22/2020
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