Organization
TAMBREE MEADOWS ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY V BELL (CEO)
(208) 221-0481
Entity
Organization
Contact information
Practice address
3550 POTOMAC WAY, IDAHO FALLS, ID 83404-4950
(208) 522-1922
(775) 307-4049
Mailing address
3550 POTOMAC WAY, IDAHO FALLS, ID 83404-4950
(208) 522-1922
(775) 307-4049
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC-1129
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC-1129
—
ID
Enumeration date
11/10/2016
Last updated
11/10/2016
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