Organization
CORALVITA BOISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIS SABETI (CHIEF EXECUTIVE OFFICER)
(972) 567-4932
Entity
Organization
Contact information
Practice address
6651 W FRANKLIN RD, BOISE, ID 83709-0914
(208) 459-9500
Mailing address
400 LAS COLINAS BLVD E, IRVING, TX 75039-5579
(972) 567-4932
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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