Organization
LAKE CITY MEDICAL INVESTORS, LLC
Active
Other names
Life Care Center of Coeur D'Alene
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S. CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
500 W AQUA AVE, COEUR D ALENE, ID 83815-7764
(208) 762-1122
(208) 762-9191
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
65
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021309
—
ID
Enumeration date
05/19/2006
Last updated
01/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us