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Organization
LAKE CITY CENTER, INC.
Active
Organization
LAKE CITY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VARUNEE PHILLIPS (EXECUTIVE DIRECTOR)
(208) 667-4628
Entity
Organization
Contact information
Practice address
1916 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2633
(208) 667-4628
(208) 667-6695
Mailing address
1916 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2633
(208) 667-4628
(208) 667-6695
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
NULL
332U00000X
Home Delivered Meals
Primary
—
NULL
Other
Enumeration date
09/08/2026
Last updated
10/16/2026
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