Organization · Type 2 NPI

Edgewood Spring Creek Eagle, LLC

Assisted Living Facility · Eagle, ID

NPI number 1003191149 Active

Practice location

653 N Eagle Rd
Eagle, ID 83616-6921

Call (208) 938-5578 Map

Fax (208) 938-1589

Mailing address

PO Box 13238
Grand Forks, ND 58208

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XRC-1007 (ID)

Assisted Living Facility: 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.

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About NPI 1003191149

Edgewood Spring Creek Eagle, LLC's National Provider Identifier is 1003191149, issued on Oct 20, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Eagle, ID. The record was last updated on Aug 18, 2022.