Edgewood Spring Creek Soda Springs, LLC
Edgewood Spring Creek Soda Springs, LLC is an Assisted Living Facility in Soda Springs, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
425 S Spring Creek DrSoda Springs, ID 83276-1628
Phone: (208) 547-0257
Fax: (208) 547-4879
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 · Licence RC-1010 (ID) |
|---|
Record details
| NPI number | 1841575982 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Dybwad — Vp Of Finance · (701) 757-5422 |
| NPI enumerated | October 20, 2011 |
| Last updated in NPPES | August 19, 2022 |
| Certification date | August 19, 2022 |
| Mailing address | Po Box 13238, Grand Forks, ND 58208 |
Other providers in Soda Springs
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Heritage of Soda Springs LLC
425 S Spring Creek Dr, Soda Springs, ID 83276-1628 · (208) 547-0257