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Edgewood Spring Creek Soda Springs, Llc
Assisted Living Facility in Soda Springs, Idaho
NPI 1841575982

Edgewood Spring Creek Soda Springs, Llc is an Assisted Living Facility based in Grand Forks, ID. Edgewood Spring Creek Soda Springs, Llc practices in Soda Springs, ID. The NPI Number for Edgewood Spring Creek Soda Springs, Llc is 1841575982 and holds a License No. RC-1010 (Idaho).

The current practice location address for Edgewood Spring Creek Soda Springs, Llc is 425 S Spring Creek Dr, Soda Springs, ID and can be reached out via phone at 208-547-0257 and via fax at 208-547-4879.

Location: 425 S Spring Creek Dr, Soda Springs, ID, 58208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841575982
Provider Name
Edgewood Spring Creek Soda Springs, Llc
Credential
Provider Entity Type
Organization
Address
425 S Spring Creek Dr, Soda Springs, ID, 58208
Phone Number
208-547-0257
Fax Number
208-547-4879
Provider Enumeration Date
10/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
425 S Spring Creek Dr
City
Soda Springs
State
Idaho
Zip
83276-1628
Phone Number
208-547-0257
Fax Number
208-547-4879
person
Provider Business Mailing Address Details
Address
425 S Spring Creek Dr
City
Soda Springs
State
Idaho
Zip
83276-1628
Phone Number
208-547-0257
Fax Number
208-547-4879
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
RC-1010 (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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