Organization · Type 2 NPI
Etosha Assisted Living, Inc
Assisted Living Facility · Rupert, ID
NPI number
1407462906
Active
Practice location
243 N 300 E
Rupert, ID 83350-9491
Fax (208) 436-1289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None 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.
Other assisted living facility providers in Rupert
About NPI 1407462906
Etosha Assisted Living, Inc's National Provider Identifier is 1407462906, issued on Sep 20, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Rupert, ID. The record was last updated on Sep 20, 2020.