NPI 1750309795
Shoshone Rehab and Living Center
Practice location
- Address
- 511 East 4th Street, Shoshone, ID 83352
- Phone
- (208) 886-2228
- Fax
- (208) 886-2549
- Mailing address
- 511 E 4th St, Shoshone, ID 83352-5380
Authorised official
- Name
- Sharon Rae Sullivan
- Title
- Business Office Manager
- Phone
- (208) 886-2228
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1750309795
- Entity type
- Organization
- NPI issued
- 18 Jul 2006
- Record last updated
- 22 Aug 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.