- Facility Name
- SSA VIII, LLC
- Type / Classification
- Assisted Living Facility
- Address
- 2421 VINEYARD AVE, LEWISTON, ID 83501
- Phone Number
- (208) 743-6500
- NPI Number
- 1679152326
- Authorized Official
- LEE FIELD (Authorized Designee)
- Enumeration Date
- 2021-04-07