NPI 1548697006
St. Luke's Elks Childrens Rehab
Practice location
- Address
- 405 W Myrtle St, Boise, ID 83702-7658
- Phone
- (208) 489-5880
Authorised official
- Name
- Brent Wilson
- Title
- Compliance and Risk Management
- Phone
- (208) 489-4761
Registered specialties
Children's Rehabilitation Hospital
Primary
Registry record
- NPI
- 1548697006
- Entity type
- Organization
- NPI issued
- 30 Sep 2013
- Record last updated
- 30 Sep 2013
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.