Organization
BRONCO SENIOR SERVICES
Active
Other names
Hillcrest
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY HASKELL (MANAGER)
(720) 257-2366
Entity
Organization
Contact information
Practice address
1093 S HILTON ST, BOISE, ID 83705-1971
(208) 345-4460
Mailing address
1093 S HILTON ST, BOISE, ID 83705-1971
(208) 345-4460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC-998
ID
Other
Enumeration date
12/05/2011
Last updated
12/06/2011
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