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ASSISTED LIVING CONCEPTS INC NPI 1326233917


NPI Information

NPI: 1326233917
Provider Name: ASSISTED LIVING CONCEPTS INC

Doing Business As: MALLORY HOUSE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3400 SOUTH 5TH WEST
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 528-8500
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ASSISTED LIVING CONCEPTS INC is an assisted living facility in Idaho Falls, ID. The provider is 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. ASSISTED LIVING CONCEPTS INC NPI is 1326233917. The provider is registered as an organization entity type.
The provider Is Doing Business As Mallory House.

The provider's business location address is:

3400 SOUTH 5TH WEST
IDAHO FALLS, ID
ZIP 83402
Phone: (208) 528-8500
Fax: (208) 520-2916

The provider's authorized official is Walter A Levonowich .
The authorized official title is Vice President Controller and has the following contact phone number (262) 250-4500.

The enumeration date for this NPI number is 9/7/2007 and was last updated on 9/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityRC534Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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