NPI 1023671435
Edgewood Castle Hills LLC
Practice location
- Address
- 5955 W Castle Dr, Boise, ID 83703-3215
- Phone
- (208) 510-9047
- Mailing address
- PO Box 13238, Grand Forks, ND 58208-3238
Authorised official
- Name
- John Dybwad
- Title
- Vp of Finance
- Phone
- (701) 757-5422
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1023671435
- Entity type
- Organization
- NPI issued
- 22 Apr 2019
- Record last updated
- 18 Aug 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.