Edgewood Spring Creek Eagle Island LLC
NPI #1114383577 in Boise, Idaho
Provider Information
- NPI Number
- 1114383577
- Entity Type
- Organization
- Organization Name
- Edgewood Spring Creek Eagle Island LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 14, 2016
- Last Updated
- Aug 19, 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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