Living Waters Coordinated Communities, Inc. in Coeur D Alene - Pain
Living Waters Coordinated Communities, Inc. - NPI 1215153432
Living Waters Coordinated Communities, Inc. is a Pain in Coeur D Alene, Idaho. Living Waters Coordinated Communities, Inc. practices all healthcare services and medical treatments related to Pain. The NPI Number for Living Waters Coordinated Communities, Inc. is 1215153432. The last update date is 2007-09-28.
Living Waters Coordinated Communities, Inc.'s current location address is 212 W Ironwood Dr, Coeur D Alene, Idaho. You can contact this provider via phone number 2086760926 and fax number 2086760926. The mailing address for Living Waters Coordinated Communities, Inc. is 212 W Ironwood Dr, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Living Waters Coordinated Communities, Inc. |
|---|---|
| Address | 212 W Ironwood Dr, Coeur D Alene, Idaho |
| Phone Number | 2086760926 |
| Fax Number | 2086760926 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT, |
|---|---|
| Authorized Official Name | Wilhelm H Laverl |
| Credentials | PHD |
| Telephone Number | 2086760926 |
NPI Number Detail
| NPI Number | 1215153432 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | 212 W Ironwood Dr |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838141403 |
| Phone Number | 2086760926 |
| Fax Number | 2086760926 |
Provider's Primary Taxonomy Detail
| Speciality | Pain |
|---|---|
| Taxonomy | 261Qp3300X |
| Licence No | PSYCHOLOGY 2 |
|
Definition: Evaluates and manages acute and chronic pain through interventional, behavioral and alternative approaches. |
|
Post Comment/ Review Below
What is the Living Waters Coordinated Communities, Inc.'s unique identification number?
The Living Waters Coordinated Communities, Inc. has been assigned the NPI (National Provider Identifier) Number 1215153432 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Living Waters Coordinated Communities, Inc. is located?
The Living Waters Coordinated Communities, Inc. is situated at the following address: 212 W Ironwood Dr, Coeur D Alene, ID, 838141403.
What is Living Waters Coordinated Communities, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Living Waters Coordinated Communities, Inc.'s area of specialization is Pain, and the corresponding taxonomy code that categorizes this field of practice is 261Qp3300X.
On what date did the Living Waters Coordinated Communities, Inc. receive the assignment of its 1215153432 from the Centers for Medicare & Medicaid Services?
The Living Waters Coordinated Communities, Inc. was issued its 1215153432 by the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date were the details pertaining to Living Waters Coordinated Communities, Inc. last refreshed?
The information related to the Living Waters Coordinated Communities, Inc., including its address, specialty, and other relevant details, was last updated on 2007-09-28.
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