Organization
GEM MEDICAL INVESTORS, LLC
Active
Other names
Life Care Center of Idaho Falls
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S. CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
2725 E 17TH ST, AMMON, ID 83406-6601
(208) 529-4567
(208) 529-4590
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
44
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021307
—
ID
Enumeration date
05/20/2006
Last updated
01/20/2016
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