Organization
LOTUS LIVING 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ROSE BRUNO (MANAGING MEMBER)
(208) 353-3965
Entity
Organization
Contact information
Practice address
1416 E LINDEN ST, CALDWELL, ID 83605-5817
(208) 353-3965
Mailing address
991 S ALLANTE PL, BOISE, ID 83709-1612
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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