NPI 1477503076

Trinity Mission Health & Rehab of Holly, LP

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: Judy Ullery
Title: President
Phone: (901) 937-7994

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 29 (ID)

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1477503076
Entity type: Organization
NPI issued: 12 May 2006
Record last updated: 10 Apr 2008

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.