Organization
SHAW MOUNTAIN OF CASCADIA, LLC
Active
Other names
Shaw Mountain of Cascadia
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN HAMMOND (PRESIDENT)
(208) 401-9600
Entity
Organization
Contact information
Practice address
909 E RESERVE ST, BOISE, ID 83712-6508
(208) 343-7717
(208) 692-9909
Mailing address
909 E RESERVE ST, BOISE, ID 83712-6508
(208) 343-7717
(208) 692-9909
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/22/2016
Last updated
01/23/2024
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