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Titan Willow Operator Llc
Assisted Living Facility in Blackfoot, Idaho
NPI 1326734062

Titan Willow Operator Llc is an Assisted Living Facility based in El Segundo, ID. Titan Willow Operator Llc practices in Blackfoot, ID. The NPI Number for Titan Willow Operator Llc is 1326734062 and holds a License No. (Idaho).

The current practice location address for Titan Willow Operator Llc is 898 S Meridian St, Blackfoot, ID and can be reached out via phone at 208-782-1478. You can also correspond with Titan Willow Operator Llc through the mailing address at 2301 ROSECRANS AVE STE 4170, EL SEGUNDO, CA - 90245-4966 (mailing address contact number: ).

Location: 898 S Meridian St, Blackfoot, ID, 90245-4966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326734062
Provider Name
Titan Willow Operator Llc
Credential
Provider Entity Type
Organization
Address
898 S Meridian St, Blackfoot, ID, 90245-4966
Phone Number
208-782-1478
Fax Number
Provider Enumeration Date
04/14/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
898 S Meridian St
City
Blackfoot
State
Idaho
Zip
83221-2660
Phone Number
208-782-1478
Fax Number
person
Provider Business Mailing Address Details
Address
898 S Meridian St
City
Blackfoot
State
Idaho
Zip
83221-2660
Phone Number
208-782-1478
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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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