Edgewood Fruitland Senior Living LLC
Edgewood Fruitland Senior Living LLC is an Assisted Living Facility in Fruitland, Idaho. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1255 Allen AveFruitland, ID 83619-2704
Phone: (208) 452-5163
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1063840353 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Dybwad — Vp Of Finance · (701) 757-5422 |
| NPI enumerated | October 23, 2013 |
| Last updated in NPPES | August 19, 2022 |
| Certification date | August 19, 2022 |
| Mailing address | Po Box 13238, Grand Forks, ND 58208 |