Organization
ASHLEY MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMERON LEMON (MEMBER)
(208) 250-5875
Entity
Organization
Contact information
Practice address
2150 S ORCHARD ST, BOISE, ID 83705-3647
(208) 376-7298
Mailing address
PO BOX 1176, MERIDIAN, ID 83680-1176
(208) 376-7298
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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