is a Home Health in Coeur D Alene, Idaho. practices all healthcare services and medical treatments related to Home Health. The NPI Number for is 1316104367. The last update date is .
's current location address is 5067 N Building Center Dr, Coeur D Alene, Idaho. You can contact this provider via phone number 2086642764 and fax number 2087658471. The mailing address for is 5067 N Building Center Dr, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5067 N Building Center Dr, Coeur D Alene, Idaho |
| Phone Number | 2086642764 |
| Fax Number | 2087658471 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316104367 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5067 N Building Center Dr |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838157364 |
| Phone Number | 2086642764 |
| Fax Number | 2087658471 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | 807535800 |
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Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807535800 | ID | -- |
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