Table Rock Senior Living Llc

LBN: Table Rock Senior Living Llc
Table Rock Senior Living Llc is an health care organization with primary practice located at 1675 E Riverside Dr Ste 150 , Eagle ID 83616-7584. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Table Rock Senior Living Llc can be contacted via phone (208) 401-1400, or through Johnson, Lee via phone (208) 401-1369.

Contact Information

Primary practice address
1675 E Riverside Dr Ste 150 Eagle ID 83616-7584
Phone: (208) 401-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Lee
Phone: (208) 401-1369

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1407502297
LBN Legal business name Table Rock Senior Living Llc
DBA Doing business as
Authorized official Johnson, Lee
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2022
Last updated Mar 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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