Organization
ALPINE MEADOWS ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLLIE L WALLACE LPN (ADMINISTRATOR/OWNER)
(208) 888-0090
Entity
Organization
Contact information
Practice address
1695 S LOCUST GROVE RD, MERIDIAN, ID 83642-6620
(208) 888-0090
Mailing address
1695 S LOCUST GROVE RD, MERIDIAN, ID 83642-6620
(208) 888-0090
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC-988
ID
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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