Edgewood Spring Creek Eagle Island Llc

LBN: Edgewood Spring Creek Eagle Island Llc
Edgewood Spring Creek Eagle Island Llc is an health care organization with primary practice located at 12426 W Explorer Dr Ste 220 , Boise ID 83713-1560. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Edgewood Spring Creek Eagle Island Llc can be contacted via phone (208) 947-4012, or through Dybwad, John via phone (701) 757-5422.

Contact Information

Primary practice address
12426 W Explorer Dr Ste 220 Boise ID 83713-1560
Phone: (208) 947-4012
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dybwad, John
Phone: (701) 757-5422

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X RC1104 Idaho

Profile Details

NPI number 1114383577
LBN Legal business name Edgewood Spring Creek Eagle Island Llc
DBA Doing business as
Authorized official Dybwad, John
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2016
Last updated Aug 19th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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