Organization
LEGENDS PARK LLC
Active
Other names
Legends Park Assisted Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J VISLOCKY (MANAGING MEMBER)
(360) 735-7155
Entity
Organization
Contact information
Practice address
1820 W GOLF COURSE RD, COEUR D ALENE, ID 83815-1627
(208) 666-9900
(208) 765-6587
Mailing address
7700 NE PARKWAY DR, SUITE 300, VANCOUVER, WA 98662-6648
(360) 735-7155
(360) 735-9416
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC 548
ID
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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