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Organization

DISCOVERY CARE CENTRE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAWN L BROWN (BILLER)
(208) 375-9964
Entity
Organization

Contact information

Practice address
600 SHANAFELT ST, SALMON, ID 83467-4261
(208) 756-8391
(208) 756-8398
Mailing address
600 SHANAFELT ST, SALMON, ID 83467-4261
(208) 756-8391
(208) 756-8398

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
RC# 594
ID
314000000X
Skilled Nursing Facility
Primary
SNF# 90
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
90
STATE OF ID SNF LICENSE
ID
01
RC#594
ID ASSISTED LIVING LISC
ID
Enumeration date
10/03/2005
Last updated
07/18/2007
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