EDGEWOOD CASTLE HILLS LLC NPI 1023671435

NPI Information

EDGEWOOD CASTLE HILLS LLC is an assisted living facility in Boise, 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. EDGEWOOD CASTLE HILLS LLC NPI is 1023671435. The provider is registered as an organization entity type.

The provider's business location address is:

5955 W CASTLE DR
BOISE, ID
ZIP 83703-215
Phone: (701) 757-5422

The provider's authorized official is John Dybwad .
The authorized official title is Vp Of Finance and has the following contact phone number (701) 757-5422.

The CLIA number assigned to this NPI record is 13D2195041 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2019 and was last updated on 4/22/2019.

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:

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