NPI 1144537986

Alpine Meadows Assisted Living, LLC

Organisation Assisted Living Facility Meridian, ID

Practice location

Address: 1695 S Locust Grove Rd, Meridian, ID 83642-6620
Phone: (208) 888-0090

Authorised official

Name: Dollie L Wallace
Title: Administrator/Owner
Phone: (208) 888-0090

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence RC-988 (ID)

Other Assisted Living Facility providers in Idaho →

Registry record

NPI: 1144537986
Entity type: Organization
NPI issued: 31 Aug 2010
Record last updated: 31 Aug 2010

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.