Organization · Type 2 NPI
Edgewood Spring Creek Overland, LLC
Assisted Living Facility · Boise, ID
NPI number
1497038301
Active
Practice location
10139 W Overland Rd
Boise, ID 83709-1429
Mailing address
PO Box 13238
Grand Forks, ND 58208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | RC1009 (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 1497038301
Edgewood Spring Creek Overland, LLC's National Provider Identifier is 1497038301, issued on Sep 27, 2011. 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.