Organization
BEACH CITY SENIOR LIVING LLC
Active
Other names
Sea Cliff Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LEE JOHNSON (TREASURER)
(208) 401-1369
Entity
Organization
Contact information
Practice address
1675 E RIVERSIDE DR STE 150, EAGLE, ID 83616-7584
(208) 401-1400
Mailing address
1675 E RIVERSIDE DR STE 150, EAGLE, ID 83616-7584
(208) 401-1400
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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