Organization
AHC OF LEWISTON, LLC
Active
Parent organization
ADVANCED HEALTH CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED HEALTH CARE CORPORATION
Authorized official
MARK EMMETT (CFO)
(253) 670-5700
Entity
Organization
Contact information
Practice address
2852 JUNIPER DR, LEWISTON, ID 83501-4719
(208) 748-7700
(208) 748-7750
Mailing address
215 N WHITLEY DR STE 3, FRUITLAND, ID 83619-2706
(208) 452-6392
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/28/2018
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