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
Authorized Official
- Name
- JOHN DYBWAD
- Title
- VP OF FINANCE
- Phone
- (701) 757-5422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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| Edgewood Plantation Place LLC | |
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