Organization · Type 2 NPI

Edgewood Spring Creek Eagle Island LLC

Assisted Living Facility · Boise, ID

NPI number 1114383577 Active

Practice location

12426 W Explorer Dr Ste 220
Boise, ID 83713-1560

Call (208) 947-4012 Map

Mailing address

PO Box 13238
Grand Forks, ND 58208

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XRC1104 (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 1114383577

Edgewood Spring Creek Eagle Island LLC's National Provider Identifier is 1114383577, issued on Jan 14, 2016. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Boise, ID. The record was last updated on Aug 19, 2022.