NPI 1770890022

Mini-Cassia Care Center LLC

Organisation Skilled Nursing Facility Burley, ID

Practice location

Address: 1729 Miller Ave, Burley, ID 83318-2338
Phone: (208) 678-9474
Fax: (208) 678-3727
Mailing address: 275 S 5th Ave Lower Level, Pocatello, ID 83201-6400

Authorised official

Name: James B Everton
Title: Ceo
Phone: (208) 233-4673

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 42 (ID)

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1770890022
Entity type: Organization
NPI issued: 8 Sep 2010
Record last updated: 8 Sep 2010

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.