DISCOVERY CARE CENTRE
Assisted Living Facility
Salmon, Idaho
Provider NPI: 1659368801
Organization Information:Organization Name: DISCOVERY CARE CENTRE
Practice Location:
600 SHANAFELT ST SALMON, ID 83467 US
Tel: 208-756-8391 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
600 SHANAFELT ST SALMON, ID 83467 US
Tel: 208-756-8391 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ID | RC# 594 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ID | SNF# 90 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
STATE OF ID SNF LICENSE | 90 | ID | 01 |
ID ASSISTED LIVING LISC | RC#594 | ID | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin