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Contact Information

SHOSHONE REHAB AND LIVING CENTER
511 EAST 4TH STREET
SHOSHONE, ID83352
 Phone: 208-886-2228
 Fax: 208-886-2549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SHOSHONE REHAB AND LIVING CENTER

NPI # 1750309795
LBN Legal business name SHOSHONE REHAB AND LIVING CENTER
Authorized official SHARON SULLIVAN - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
ID License # 20
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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