Golden Girls Residential Care, LLC
NPI #1376007435 in Lewiston, Idaho
Provider Information
- NPI Number
- 1376007435
- Entity Type
- Organization
- Organization Name
- Golden Girls Residential Care, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 23, 2019
- Last Updated
- Apr 14, 2025
Practice Location
Authorized Official
- Name
- MR. LUCAS J FOWLER
- Title
- PRESIDENT/EXECUTIVE DIRECTOR
- Phone
- (208) 416-9914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
| Assisted Living Facility |
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