TABLE ROCK SENIOR LIVING LLC

EAGLE, ID
NPI1407502297
Entity TypeOrganization
Authorized ContactLEE JOHNSON
Treasurer
208-401-1369
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
TABLE ROCK SENIOR LIVING LLC
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616-7584
Phone number: 208-401-1400
Mailing Address
TABLE ROCK SENIOR LIVING LLC
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616-7584
Phone number: 208-401-1400
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