NPI 1376674622

Spring Creek Idaho, LLC

Organisation Assisted Living Facility Meridian, ID

Practice location

Address: 175 E Calderwood Dr, Meridian, ID 83642-7482
Phone: (208) 884-6199
Fax: (208) 639-3419
Mailing address: 253 E Calderwood Dr # E, Meridian, ID 83642-7500

Authorised official

Name: Virginia Thornley
Title: Bookkeeper
Phone: (208) 855-5005

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1376674622
Entity type: Organization
NPI issued: 8 Mar 2007
Record last updated: 22 Aug 2020

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.