Living Spring Residential Care

NPI #1609012277 in Lewiston, Idaho

Provider Information

NPI Number
1609012277
Entity Type
Organization
Organization Name
Living Spring Residential Care
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 1, 2009
Last Updated
Jan 1, 2009

Practice Location

Address
1050 HEMLOCK DR
State
Idaho
ZIP Code
83501-5434
Phone
(208) 743-2685

Authorized Official

Name
MR. MARCUS CHARLES FOWLER
Title
OWNER
Phone
(208) 743-2685

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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