Organization · Type 2 NPI

Table Rock Senior Living LLC

Assisted Living Facility · Eagle, ID

NPI number 1407502297 Active

Practice location

1675 E Riverside Dr Ste 150
Eagle, ID 83616-7584

Call (208) 401-1400 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone 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.

11 other providers at this address

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About NPI 1407502297

Table Rock Senior Living LLC's National Provider Identifier is 1407502297, issued on Mar 1, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Eagle, ID. The record was last updated on Jun 11, 2025.