EDGEWOOD SPRING CREEK MERIDIAN LLC NPI 1891078705

NPI Information

EDGEWOOD SPRING CREEK MERIDIAN, LLC is an assisted living facility in Meridian, 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 MERIDIAN, LLC NPI is 1891078705. The provider is registered as an organization entity type.

The provider's business location address is:

175 E CALDERWOOD DR
MERIDIAN, ID
ZIP 83642-482
Phone: (208) 884-6199

The provider's authorized official is Ashley Taylor .
The authorized official title is Accounting and has the following contact phone number (208) 350-6630.

The CLIA number assigned to this NPI record is 13D2195031 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2011 and was last updated on 9/27/2011.

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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