NPI 1821713710

Spokane-Idaho Falls LLC

Organisation Assisted Living Facility Idaho Falls, ID

Practice location

Address: 3310 Valencia Dr, Idaho Falls, ID 83404-7502
Phone: (208) 542-6200
Fax: (208) 552-6139

Authorised official

Name: Machelle Rae Bergeman
Title: General Manager
Phone: (208) 542-6200

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Idaho →

Registry record

NPI: 1821713710
Entity type: Organization
NPI issued: 4 Oct 2022
Record last updated: 4 Oct 2022

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.