NPI 1295563385

Titan Streamside Operator, LLC

Organisation Assisted Living Facility Nampa, ID

Practice location

Address: 1355 S Edgewater Cir, Nampa, ID 83686-6085
Phone: (208) 442-0097
Mailing address: 840 Apollo St STE 100, El Segundo, CA 90245-4641

Authorised official

Name: Rebecca Wong
Title: Cfo
Phone: (310) 725-0120

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Idaho →

Alzheimer Center (Dementia Center)

Nursing & Custodial Care Facilities Taxonomy 311500000X

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Registry record

NPI: 1295563385
Entity type: Organization
NPI issued: 22 Jul 2024
Record last updated: 22 Jul 2024

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.