GRACE 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 AT STATE STREET LLC NPI is 1356965693. The provider is registered as an organization entity type.
The provider's business location address is:
9995 W STATE ST
BOISE, ID
ZIP 83714-636
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) 342-1312.
The CLIA number assigned to this NPI record is 13D2194053 - 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.