# TOUCHMARK AT MEADOW LAKE VILLAGE, LLC

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

## Provider details

- **NPI number:** 1629372040
- **Authorized official:** BRIAN EUGENE PRYOR (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (503) 646-5186

## Contact information

- **Practice address:** 625 S ARBOR LN, MERIDIAN, ID 83642-3025
- **Practice address phone:** (208) 884-3308
- **Practice address fax:** (208) 888-9381
- **Mailing address:** 5150 SW GRIFFITH DR, BEAVERTON, OR 97005-2935
- **Mailing address phone:** (503) 646-5186
- **Mailing address fax:** (503) 644-3568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HH160 | ID | Yes |

## Other

- **Enumeration date:** 12/28/2010
- **Last updated:** 02/12/2018