Organization
GLENDALE GROVE SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
1675 E RIVERSIDE DR STE 150, EAGLE, ID 83616-7584
(208) 401-1400
Mailing address
1675 E RIVERSIDE DR STE 150, EAGLE, ID 83616-7584
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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