Organization
PINEWOOD HEALTHCARE LLC
Active
Other names
Coeur d'Alene Health Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MASON A. HUNTER (MANAGER)
(208) 664-8128
Entity
Organization
Contact information
Practice address
2514 N 7TH ST, COEUR D ALENE, ID 83814-3720
(208) 664-8128
(208) 765-0505
Mailing address
2514 N 7TH ST, COEUR D ALENE, ID 83814-3720
(208) 664-8128
(208) 765-0505
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
33
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073550489
—
ID
Enumeration date
06/02/2006
Last updated
04/07/2017
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