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Edgewood Spring Creek Eagle, Llc
Assisted Living Facility in Eagle, Idaho
NPI 1003191149

Edgewood Spring Creek Eagle, Llc is an Assisted Living Facility based in Grand Forks, ID. Edgewood Spring Creek Eagle, Llc practices in Eagle, ID. The NPI Number for Edgewood Spring Creek Eagle, Llc is 1003191149 and holds a License No. RC-1007 (Idaho).

The current practice location address for Edgewood Spring Creek Eagle, Llc is 653 N Eagle Rd, Eagle, ID and can be reached out via phone at 208-938-5578 and via fax at 208-938-1589.

Location: 653 N Eagle Rd, Eagle, ID, 58208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003191149
Provider Name
Edgewood Spring Creek Eagle, Llc
Credential
Provider Entity Type
Organization
Address
653 N Eagle Rd, Eagle, ID, 58208
Phone Number
208-938-5578
Fax Number
208-938-1589
Provider Enumeration Date
10/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
653 N Eagle Rd
City
Eagle
State
Idaho
Zip
83616-6921
Phone Number
208-938-5578
Fax Number
208-938-1589
person
Provider Business Mailing Address Details
Address
653 N Eagle Rd
City
Eagle
State
Idaho
Zip
83616-6921
Phone Number
208-938-5578
Fax Number
208-938-1589
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
RC-1007 (Idaho)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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