Organization
EDGEWOOD CASTLE HILLS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DYBWAD (VP OF FINANCE)
(701) 757-5422
Entity
Organization
Contact information
Practice address
5955 W CASTLE DR, BOISE, ID 83703-3215
(208) 510-9047
Mailing address
PO BOX 13238, GRAND FORKS, ND 58208-3238
(701) 738-2000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
08/18/2022
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