Organization
CANYON COUNTY OF CASCADIA, LLC
Active
Parent organization
CASCADIA IDAHO OPERATIONS, LLC
Other names
Wellspring Health&Rehab of Cascadia, Wellspring Health & Rehabilitation of Cascadia
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASCADIA IDAHO OPERATIONS, LLC
Authorized official
OWEN HAMMOND (PRESIDENT)
(208) 401-9600
Entity
Organization
Contact information
Practice address
2105 12TH AVE RD, NAMPA, ID 83686-6312
(208) 467-5721
Mailing address
2205 E RIVERSIDE DR STE 100, EAGLE, ID 83616-7621
(208) 401-9600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
05/24/2024
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