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Organization

LOST RIVERS DISTRICT HOSPITAL

Active
Other names
LOST RIVERS LIVING CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KIM DAHLMAN (CEO)
(208) 527-8206
Entity
Organization

Contact information

Practice address
551 HIGHLAND DR, ARCO, ID 83213-9771
(208) 527-8206
(208) 527-3430
Mailing address
PO BOX 145, ARCO, ID 83213-0145
(208) 527-8206
(208) 527-3430

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
H45
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002301800
ID
Enumeration date
07/14/2005
Last updated
01/16/2013
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