Parkwood Meadows LLC
NPI #1932236049 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1932236049
- Entity Type
- Organization
- Organization Name
- Parkwood Meadows LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1885 PARKWOOD ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-6135
- Phone
- (208) 523-7800
Authorized Official
- Name
- GREGORY J VISLOCKY
- Title
- MANAGING MEMBER
- Phone
- (360) 735-7155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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