Organization · Type 2 NPI

Grace Memory Care at State Street LLC

Assisted Living Facility · Boise, ID

NPI number 1164046413 Active

Practice location

9779 W State St
Boise, ID 83714-1638

Call (208) 853-3337 Map

Mailing address

890 N Cole Rd
Boise, ID 83704-8638

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1164046413

Grace Memory Care at State Street LLC's National Provider Identifier is 1164046413, issued on Jun 2, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Boise, ID. The record was last updated on Jun 2, 2020.