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13D2243553 CLIA NUMBER - VALLEY VISTA COTTAGE CARE

Laboratory Demographics

CLIA Number: 13D2243553

Facility Name: VALLEY VISTA COTTAGE CARE

Facility Address:
2080 ELM ST
ST MARIES, ID
ZIP 83861
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Facility Phone Number: (208) 245-4576

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver
NPI Number: 1497761050

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name Field Value
CLIA Number 13D2243553
LAB Type ASSISTED LIVING FACILITY
Facility Name VALLEY VISTA COTTAGE CARE
Street 2080 ELM ST
City ST MARIES
State ID
ZIP 83861
Phone (208) 245-4576

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This page was last updated on: 5/11/2023