Organization
CLEARWATER OF CASCADIA
Active
Parent organization
CASCADIA IDAHO OPERATIONS, LLC
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
1204 SHRIVER RD, OROFINO, ID 83544-9033
(208) 476-4568
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
11/28/2016
Last updated
05/24/2024
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