GRACE MEMORY CARE AT STATE STREET LLC is an assisted living facility in Boise, ID. The provider is 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. GRACE MEMORY CARE AT STATE STREET LLC NPI is 1164046413. The provider is registered as an organization entity type.
The provider's business location address is:
9779 W STATE ST
BOISE, ID
ZIP 83714-638
Phone: (208) 853-3337
The provider's authorized official is Linda Hines .
The authorized official title is Owner and has the following contact phone number (208) 853-3337.
The CLIA number assigned to this NPI record is 13D2194062 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/2/2020 and was last updated on 6/2/2020.