Healthcare Provider Details

I. General information

NPI: 1285383547
Provider Name (Legal Business Name): TRU LIVING RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 PARKCENTRE WAY STE 3
NAMPA ID
83651-1794
US

IV. Provider business mailing address

16432 N MIDLAND BLVD # 25
NAMPA ID
83687-5222
US

V. Phone/Fax

Practice location:
  • Phone: 208-901-8192
  • Fax:
Mailing address:
  • Phone: 208-901-8192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO FLORES
Title or Position: OWNER
Credential:
Phone: 208-901-8192