Organization
BLACKFOOT OPERATIONS LLC
Active
Other names
The Willows
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DENDY (MANAGER)
(360) 882-4500
Entity
Organization
Contact information
Practice address
898 S MERIDIAN ST, BLACKFOOT, ID 83221-2660
(208) 782-1478
Mailing address
12500 SE 2ND CIR STE 205, VANCOUVER, WA 98684-6030
(360) 882-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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