NPI 1104193739

Gables of Ammon Management, LLC

Organisation Assisted Living Facility Ammon, ID

Practice location

Address: 1405 Curlew Dr, Ammon, ID 83406-4764
Phone: (208) 535-0090

Authorised official

Name: Mark Stephenson
Title: Administrator
Phone: (208) 535-0090

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence RC-1013 (ID)

Other Assisted Living Facility providers in Idaho →

Registry record

NPI: 1104193739
Entity type: Organization
NPI issued: 28 Nov 2011
Record last updated: 28 Nov 2011

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.