- Facility Name
- EDGEWOOD FRUITLAND SENIOR LIVING LLC
- Type / Classification
- Assisted Living Facility
- Address
- 1255 ALLEN AVE, FRUITLAND, ID 83619
- Phone Number
- (208) 452-5163
- NPI Number
- 1063840353
- Authorized Official
- JOHN DYBWAD (VP of Finance)
- Enumeration Date
- 2013-10-23