NPI 1023096757

Gooding Rehab and Living Center

Organisation Mental Illness Intermediate Care Facility Gooding, ID

Practice location

Address: 1220 Montana St, Gooding, ID 83330-1856
Phone: (208) 934-5601
Fax: (208) 934-8154

Authorised official

Name: Stacy Lynn Schoonover
Title: Administrator
Phone: (208) 934-5601

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 38 (ID)

Other Intermediate Care Facility, Mental Illness providers in Idaho →

Registry record

NPI: 1023096757
Entity type: Organization
NPI issued: 3 Jan 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.