Organization
SPRING CREEK IDAHO, LLC
Active
Other names
Spring Creek Manor
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA THORNLEY (BOOKKEEPER)
(208) 855-5005
Entity
Organization
Contact information
Practice address
175 E CALDERWOOD DR, MERIDIAN, ID 83642-7482
(208) 884-6199
(208) 639-3419
Mailing address
253 E CALDERWOOD DR # E, MERIDIAN, ID 83642-7500
(208) 855-5005
(208) 855-5034
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8059942000
—
ID
Enumeration date
03/08/2007
Last updated
08/22/2020
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