# LOTUS LIVING 1

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578386793
- **Authorized official:** ANGELA ROSE BRUNO (MANAGING MEMBER)
- **Authorized official phone:** (208) 353-3965

## Contact information

- **Practice address:** 1416 E LINDEN ST, CALDWELL, ID 83605-5817
- **Practice address phone:** (208) 353-3965
- **Mailing address:** 991 S ALLANTE PL, BOISE, ID 83709-1612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2024
- **Last updated:** 11/05/2024