NPI 1205778172

Glendale Grove Senior Living, LLC

Organisation Assisted Living Facility Eagle, ID

Practice location

Address: 1675 E Riverside Dr STE 150, Eagle, ID 83616-7584
Phone: (208) 401-1400

Authorised official

Name: Amber Tueller
Title: Secretary
Phone: (208) 207-2726

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Idaho →

Registry record

NPI: 1205778172
Entity type: Organization
NPI issued: 8 Apr 2026
Record last updated: 8 Apr 2026

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.