DOINA GORLA MBA-HM
Adult Care Home
Nampa, Idaho
Provider NPI: 1316411671
Provider Information:DOINA GORLA MBA-HM
Practice Location:
1201 W FLAMINGO AVE NAMPA, ID 83651 US
Tel: 208-922-8680 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
M8062488 | ID | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin