Whalio Doctors

NPI 1336763689

Grace LLC

Organisation Assisted Living Facility Nampa, ID

Practice location

Address
1610 Sunnyridge Rd, Nampa, ID 83686-7401
Phone
(208) 442-9595
Mailing address
890 N Cole Rd, Boise, ID 83704-8638

Authorised official

Name
Linda Hines
Title
Owner
Phone
(208) 867-1001

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X

Registry record

NPI
1336763689
Entity type
Organization
NPI issued
2 Jun 2020
Record last updated
2 Jun 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.