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Titan Willow Operator Llc
Assisted Living Facility in Blackfoot, Idaho
NPI 1467145151

Titan Willow Operator Llc is an Assisted Living Facility based in Blackfoot, ID. Titan Willow Operator Llc practices in Blackfoot, ID. The NPI Number for Titan Willow Operator Llc is 1467145151 and holds a License No. (Idaho).

The current practice location address for Titan Willow Operator Llc is The Willows, Blackfoot, ID and can be reached out via phone at 208-678-4411.

Location: The Willows, Blackfoot, ID, 83221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467145151
Provider Name
Titan Willow Operator Llc
Credential
Provider Entity Type
Organization
Address
The Willows, Blackfoot, ID, 83221
Phone Number
208-678-4411
Fax Number
Provider Enumeration Date
05/30/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
The Willows
City
Blackfoot
State
Idaho
Zip
83221
Phone Number
208-678-4411
Fax Number
person
Provider Business Mailing Address Details
Address
The Willows
City
Blackfoot
State
Idaho
Zip
83221
Phone Number
208-678-4411
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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