NPI 1053553461

Holly Lane Rehabilitation and Healthcare Center, LLC

Organisation Skilled Nursing Facility Nampa, ID

Practice location

Address: 2105 12th Ave Rd, Nampa, ID 83686-6312
Phone: (208) 467-5721
Fax: (208) 467-2748

Authorised official

Name: Craig E Robinson
Title: President
Phone: (901) 937-7994

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence APPLIED FOR (ID)

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1053553461
Entity type: Organization
NPI issued: 31 Mar 2009
Record last updated: 11 Jul 2016

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.