Edgewood Castle Hills LLC

NPI #1023671435 in Boise, Idaho

Provider Information

NPI Number
1023671435
Entity Type
Organization
Organization Name
Edgewood Castle Hills LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 22, 2019
Last Updated
Aug 18, 2022

Practice Location

Address
5955 W CASTLE DR
City
Boise
State
Idaho
ZIP Code
83703-3215
Phone
(208) 510-9047

Authorized Official

Name
JOHN DYBWAD
Title
VP OF FINANCE
Phone
(701) 757-5422

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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