# COEUR D'ALENE PARTNERS, LLC DBA CREEKSIDE INN ASSISTED LIVING ALZ COMM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649547670
- **Authorized official:** MR. EMMETT AARON KOELSCH (MANAGER)
- **Authorized official phone:** (360) 867-1900

## Contact information

- **Practice address:** 240 E KATHLEEN AVE, COEUR D ALENE, ID 83815-9812
- **Practice address phone:** (208) 665-2444
- **Mailing address:** 111 MARKET ST NE STE 200, OLYMPIA, WA 98501-1008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | RC-954 | ID | Yes |

## Other

- **Enumeration date:** 11/18/2011
- **Last updated:** 12/14/2011