Organization
GOLDEN GIRLS RESIDENTIAL CARE, LLC
Active
Other names
Pathways Transport, Living Spring Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCAS J FOWLER (PRESIDENT/EXECUTIVE DIRECTOR)
(208) 416-9914
Entity
Organization
Contact information
Practice address
214 LARKSPUR LN, LEWISTON, ID 83501-9600
(208) 413-9914
(208) 798-1833
Mailing address
214 LARKSPUR LN, LEWISTON, ID 83501-9600
(208) 413-9914
(208) 798-1833
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
01/23/2019
Last updated
04/14/2025
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