NPI 1518115773
Charolais Care IV, INC
Practice location
- Address
- 511 E 4th St, Shoshone, ID 83352-5380
- Phone
- (208) 886-2228
Authorised official
- Name
- Jim Everton
- Title
- Ceo
- Phone
- (208) 233-4673
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1518115773
- Entity type
- Organization
- NPI issued
- 29 Aug 2008
- Record last updated
- 20 Feb 2017
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.