Edgewood Fruitland Senior Living LLC

NPI #1063840353 in Fruitland, Idaho

Provider Information

NPI Number
1063840353
Entity Type
Organization
Organization Name
Edgewood Fruitland Senior Living LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 23, 2013
Last Updated
Aug 19, 2022

Practice Location

Address
1255 ALLEN AVE
State
Idaho
ZIP Code
83619-2704
Phone
(208) 452-5163

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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