- Facility Name
- TITAN WILLOW OPERATOR LLC
- Type / Classification
- Assisted Living Facility
- Address
- 898 S MERIDIAN ST, BLACKFOOT, ID 83221
- Phone Number
- (208) 782-1478
- NPI Number
- 1326734062
- Authorized Official
- KEVIN KASEFF (Manager)
- Enumeration Date
- 2023-04-14