ETOSHA ASSISTED LIVING, INC
NPI 1407462906
Assisted Living Facility in Rupert, ID
- Organization
- Assisted Living Facility
About ETOSHA ASSISTED LIVING, INC
This page provides the complete NPI Profile along with additional information for Etosha Assisted Living, Inc, a provider established in Rupert, Idaho operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1407462906 assigned on September 2020. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Deborah O Covey (Owner, Director Of Operations)
- NPI
- 1407462906 Verify this NPI
- Provider Name
- ETOSHA ASSISTED LIVING, INC
- Entity Type
- Organization
- Location Address
- 243 N 300 E RUPERT, ID 83350
- Location Phone
- (208) 436-3332
- Location Fax
- (208) 436-1289
- Mailing Address
- 243 N 300 E RUPERT, ID 83350
- Mailing Phone
- (530) 510-0283
- Mailing Fax
- (208) 436-1289
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-20-2020
- Last Update Date
- 09-20-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407462906, enumerated as an "organization" on September 20, 2020.
The provider is located at 243 N 300 E RUPERT, ID 83350 and the phone number is (208) 436-3332.
Assisted Living Facility with taxonomy code 310400000X.
