NPI 1487823886

Bonaventure Place Retirement & Assisted Living Community

Organisation Point of Service Boise, ID

Practice location

Address: 5850 N Five Mile Rd, Boise, ID 83713-5466
Phone: (208) 429-6544
Fax: (208) 429-6739

Authorised official

Name: Kelley D Hamilton
Title: Owner
Phone: (503) 566-5715

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Idaho →

Registry record

NPI: 1487823886
Entity type: Organization
NPI issued: 29 Feb 2008
Record last updated: 29 Feb 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.