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Organization
COEUR D'ALENE PARTNERS, LLC DBA CREEKSIDE INN ASSISTED LIVING ALZ COMM
Active
Organization
COEUR D'ALENE PARTNERS, LLC DBA CREEKSIDE INN ASSISTED LIVING ALZ COMM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMETT AARON KOELSCH (MANAGER)
(360) 867-1900
Entity
Organization
Contact information
Practice address
240 E KATHLEEN AVE, COEUR D ALENE, ID 83815-9812
(208) 665-2444
Mailing address
111 MARKET ST NE STE 200, OLYMPIA, WA 98501-1008
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
RC-954
ID
Other
Enumeration date
11/18/2011
Last updated
12/14/2011
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