# LATAH HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Latah Health Therapy Works
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093822074
- **Authorized official:** MS. ALISA J WEINMANN (DIRECTOR OF FINANCE)
- **Authorized official phone:** (208) 882-7586

## Contact information

- **Practice address:** 510 W PALOUSE RIVER DR, MOSCOW, ID 83843-8901
- **Practice address phone:** (208) 882-7586
- **Practice address fax:** (208) 883-4473
- **Mailing address:** 510 W PALOUSE RIVER DR, MOSCOW, ID 83843-8901
- **Mailing address phone:** (208) 882-7586
- **Mailing address fax:** (208) 883-4473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 1 | ID | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 08/22/2020