Organization
CANYON WEST OF CASCADIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN HAMMOND (PRESIDENT)
(208) 401-9600
Entity
Organization
Contact information
Practice address
2814 S INDIANA AVE, CALDWELL, ID 83605-5925
(208) 459-0808
Mailing address
408 S EAGLE RD STE 205, EAGLE, ID 83616-6079
(208) 401-9600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
ID
Other
Enumeration date
08/22/2017
Last updated
05/24/2024
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