Organization · Type 2 NPI

Edgewood Spring Creek Soda Springs, LLC

Assisted Living Facility · Soda Springs, ID

NPI number 1841575982 Active

Practice location

425 S Spring Creek Dr
Soda Springs, ID 83276-1628

Fax (208) 547-4879

Mailing address

PO Box 13238
Grand Forks, ND 58208

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XRC-1010 (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 1841575982

Edgewood Spring Creek Soda Springs, LLC's National Provider Identifier is 1841575982, issued on Oct 20, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Soda Springs, ID. The record was last updated on Aug 19, 2022.