Organization
SNF AMMON OPERATING COMPANY LLC.
Active
Other names
Promontory Point Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM LONG LHCA (ADMINISTRATOR)
(208) 520-6929
Entity
Organization
Contact information
Practice address
3909 SOUTH 25TH EAST, AMMON, ID 83406
(208) 528-4000
(208) 557-2702
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
03/11/2014
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