EDGEWOOD SPRING CREEK OVERLAND, LLC is an assisted living facility in Boise, ID. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EDGEWOOD SPRING CREEK OVERLAND, LLC NPI is 1497038301. The provider is registered as an organization entity type.
The provider's business location address is:
10139 W OVERLAND RD
BOISE, ID
ZIP 83709-429
Phone: (208) 639-7000
The provider's authorized official is John Dybwad .
The authorized official title is Vp Of Finance and has the following contact phone number (701) 757-5422.
The CLIA number assigned to this NPI record is 13D2195029 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/27/2011 and was last updated on 8/19/2022.