Organization
LUTHER PARK AT SANDPOINT, LLC
Active
Other names
Luther Park at Sanpoint, Luther Park
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET KOSINSKI (EXECUTIVE DIRECTOR)
(208) 265-3557
Entity
Organization
Contact information
Practice address
510 S OLIVE AVE, SANDPOINT, ID 83864-4805
(208) 265-8822
(208) 265-8880
Mailing address
510 S OLIVE AVE, SANDPOINT, ID 83864-4805
(208) 265-8822
(208) 265-8880
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0000704
—
ID
05
—
QMP000005550392
—
ID
Enumeration date
07/22/2022
Last updated
07/27/2022
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