Organization
ARROWROCK ASSISTED LIVING LLC
Active
Other names
Bee Hive Homes of Meridian/Crest Wood
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY WYNN (ADMINISTRATOR)
(208) 629-4644
Entity
Organization
Contact information
Practice address
1448 W CREST WOOD DR, MERIDIAN, ID 83642-2498
(208) 629-4644
(208) 629-4642
Mailing address
1448 W CREST WOOD DR, MERIDIAN, ID 83642-2498
(208) 629-4644
(208) 629-4642
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC-975
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808491000
—
ID
Enumeration date
11/13/2009
Last updated
11/13/2009
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