NPI 1578386793
Lotus Living 1
Practice location
- Address
- 1416 E Linden St, Caldwell, ID 83605-5817
- Phone
- (208) 353-3965
- Mailing address
- 991 S Allante Pl, Boise, ID 83709-1612
Authorised official
- Name
- Angela Rose Bruno
- Title
- Managing Member
- Phone
- (208) 353-3965
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1578386793
- Entity type
- Organization
- NPI issued
- 5 Nov 2024
- Record last updated
- 5 Nov 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.