Titan Willow Operator LLC
NPI #1467145151 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1467145151
- Entity Type
- Organization
- Organization Name
- Titan Willow Operator LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 30, 2023
- Last Updated
- May 30, 2023
Practice Location
Authorized Official
- Name
- KEVIN KASEFF
- Title
- MANAGER
- Phone
- (310) 725-0120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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