- Facility Name
- MOSCOW OF OLYMPUS LLC
- Type / Classification
- Assisted Living Facility
- Address
- 640 N EISENHOWER ST, MOSCOW, ID 83843
- Phone Number
- (208) 401-9600
- NPI Number
- 1689391161
- Authorized Official
- HEATHER BAIRD (Assistant General Counsel)
- Enumeration Date
- 2022-10-25