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1336901834
PINE VALLEY SENIOR LIVING LLC
EAGLE, ID
NPI
1336901834
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Entity Type
Organization
Authorized Contact
LEE JOHNSON
Treasurer
208-401-1369
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2024-01-29
Last Update Date
2024-01-29
Business Address
PINE VALLEY SENIOR LIVING LLC
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616-7584
Phone number: 208-401-1400
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Mailing Address
PINE VALLEY SENIOR LIVING LLC
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616-7584
Phone number: 208-401-1400
Copy
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