13D2090211 CLIA NUMBER - BROOKDALE BOISE PARKCENTER ASSISTED LIVING

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Laboratory Demographics

CLIA Number: 13D2090211

Facility Name: BROOKDALE BOISE PARKCENTER ASSISTED LIVING

Facility Address:
739 E PARKCENTER BLVD
BOISE, ID
ZIP 83706
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Facility Phone Number: 208 338-5600

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1083959902

Taxonomy: 310400000X - 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.

CLIA Record

Field Name	Field Value
CLIA Number	13D2090211
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE BOISE PARKCENTER ASSISTED LIVING
Street	739 E PARKCENTER BLVD
City	BOISE
State	ID
ZIP	83706
Phone	208 338-5600
CertificateType	4
CertificateEffectiveDate	1/16/2023
CertificateExpirationDate	1/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024