Spokane-Idaho Falls LLC
NPI #1821713710 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1821713710
- Entity Type
- Organization
- Organization Name
- Spokane-Idaho Falls LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- IDFALLS, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Oct 4, 2022
- Last Updated
- Oct 4, 2022
Practice Location
- Address
- 3310 VALENCIA DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7502
- Phone
- (208) 542-6200
Authorized Official
- Name
- MACHELLE RAE BERGEMAN
- Title
- GENERAL MANAGER
- Phone
- (208) 542-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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