Spring Creek Idaho, LLC

NPI #1376674622 in Meridian, Idaho

Provider Information

NPI Number
1376674622
Entity Type
Organization
Organization Name
Spring Creek Idaho, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 8, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
175 E CALDERWOOD DR
State
Idaho
ZIP Code
83642-7482
Phone
(208) 884-6199

Authorized Official

Name
VIRGINIA THORNLEY
Title
BOOKKEEPER
Phone
(208) 855-5005

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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