NPI 1114815966

Grace Miller

Organisation Adult Care Home Facility Hayden, ID

Practice location

Address: 486 W Peach Tree Dr, Hayden, ID 83835-9740
Phone: (208) 660-2368

Authorised official

Name: Grace Miller
Title: Owner
Phone: (208) 660-2368

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Idaho →

Registry record

NPI: 1114815966
Entity type: Organization
NPI issued: 27 Jun 2025
Record last updated: 27 Jun 2025

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.