Organization
ASPEN VALLEY MT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDIS WILLIS (QUALITY & WELLNESS LEADER)
(541) 636-3460
Entity
Organization
Contact information
Practice address
4455 E WARM SPRINGS AVE, BOISE, ID 83716-7214
(208) 906-1900
Mailing address
360 E 10TH AVE STE 104, EUGENE, OR 97401-3273
(530) 605-8841
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/08/2021
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