Organization · Type 2 NPI
Edgewood Fruitland Senior Living LLC
Assisted Living Facility · Fruitland, ID
NPI number
1063840353
Active
Practice location
1255 Allen Ave
Fruitland, ID 83619-2704
Mailing address
PO Box 13238
Grand Forks, ND 58208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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.
About NPI 1063840353
Edgewood Fruitland Senior Living LLC's National Provider Identifier is 1063840353, issued on Oct 23, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fruitland, ID. The record was last updated on Aug 19, 2022.