- Facility Name
- GOLDEN GIRLS RESIDENTIAL CARE, LLC
- Type / Classification
- Assisted Living Facility
- Address
- 214 LARKSPUR LN, LEWISTON, ID 83501
- Phone Number
- (208) 413-9914
- NPI Number
- 1376007435
- Authorized Official
- LUCAS FOWLER (President/Executive Director)
- Enumeration Date
- 2019-01-23