Individual provider · Type 1 NPI
Eva Crucillo Bolivar-Guth
Adult Care Home Facility · Meridian, ID
NPI number
1790693604
Active
Practice location
323 S Pennant Pl
Meridian, ID 83642-2868
Mailing address
324 S Pennant Pl
Meridian, ID 83642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Meridian
About NPI 1790693604
Eva Crucillo Bolivar-Guth's National Provider Identifier is 1790693604, issued on Aug 31, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Meridian, ID. The record was last updated on Aug 31, 2026.