National Provider Identifier Database

TITAN WILLOW OPERATOR LLC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

TITAN WILLOW OPERATOR LLC
THE WILLOWS
898 S MERIDIAN STREET
BLACKFOOT, ID83221
Phone: 208-678-4411
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for TITAN WILLOW OPERATOR LLC

NPI Number 1467145151
Legal business name
LBN
TITAN WILLOW OPERATOR LLC
Authorized official KEVIN KASEFF - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/30/2023
Last updated 05/30/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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