EDGEWOOD SPRING CREEK EAGLE ISLAND LLC NPI 1114383577

NPI Information

EDGEWOOD SPRING CREEK EAGLE ISLAND 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 SPRING CREEK EAGLE ISLAND LLC NPI is 1114383577. The provider is registered as an organization entity type.

The provider's business location address is:

12426 W EXPLORER DR STE 220
BOISE, ID
ZIP 83713-560
Phone: (208) 947-4012

The provider's authorized official is Ashley Taylor .
The authorized official title is Controller and has the following contact phone number (208) 947-4012.

The CLIA number assigned to this NPI record is 13D2195033 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2016 and was last updated on 1/14/2016.

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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