Organization
VERANDA SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TAYLOR (PRESIDENT & CEO)
(208) 639-0009
Entity
Organization
Contact information
Practice address
6280 N FOX RUN WAY, MERIDIAN, ID 83646-6791
(208) 863-6379
Mailing address
6280 N FOX RUN WAY, MERIDIAN, ID 83646-6791
(208) 863-6379
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0003465
—
ID
Enumeration date
04/09/2019
Last updated
04/09/2019
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