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General NPI Number Information
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NPI Number | 1073382487
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Entity Type | Organization
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Legal Business Name | SAWTOOTH SENIOR LIVING LLC
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 6280 N FOX RUN WAY
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City | MERIDIAN
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State | ID
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Zip | 83646-6791
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Country | US
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Telephone | 208-639-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 6280 N FOX RUN WAY
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City | MERIDIAN
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State | ID
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Zip | 83646-6791
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Country | US
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Telephone | 836-462-0840
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | LEE JOHNSON
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Credential |
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Telephone | 208-401-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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