Organization · Type 2 NPI
Titan Willow Operator LLC
Assisted Living Facility · Blackfoot, ID
NPI number
1326734062
Active
Practice location
898 S Meridian St
Blackfoot, ID 83221-2660
Mailing address
2301 Rosecrans Ave Ste 4170
El Segundo, CA 90245-4966
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.
Another provider at this address
Other assisted living facility providers in Blackfoot
About NPI 1326734062
Titan Willow Operator LLC's National Provider Identifier is 1326734062, issued on Apr 14, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Blackfoot, ID. The record was last updated on May 22, 2023.