Organization
DISCOVERY CARE CENTRE OF SALMON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK HOLLOWAY (PRESIDENT)
(208) 375-9967
Entity
Organization
Contact information
Practice address
1475 N COLE RD, BOISE, ID 83704-8537
(208) 375-9964
(208) 375-9958
Mailing address
1475 N COLE RD, BOISE, ID 83704-8537
(208) 375-9964
(208) 375-9958
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC594
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04523
BLUE CROSS PROVIDER NUMBE
ID
Enumeration date
03/07/2007
Last updated
08/22/2020
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