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Organization
HEARTFELT HAVEN ASSISTED LIVING LLC
Active
Organization
HEARTFELT HAVEN ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDEN TESH BLACK RN, BSN, MBA (OWNER)
(208) 316-7357
Entity
Organization
Contact information
Practice address
1212 S LONGMONT AVE, BOISE, ID 83706-3645
(208) 316-7357
Mailing address
1212 S LONGMONT AVE, BOISE, ID 83706-3645
(208) 316-7357
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/16/2026
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