Organization
LEWISTON ROYAL PLAZA RETIREMENT, LLC
Active
Parent organization
EMPRES IDAHO HEALTHCARE LLC
Other names
Royal Plaza Retirement Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMPRES IDAHO HEALTHCARE LLC
Authorized official
DALE L. PATTERSON (CEO AND MANAGER)
(360) 892-6628
Entity
Organization
Contact information
Practice address
2870 JUNIPER DR, LEWISTON, ID 83501-4720
(208) 746-2800
(208) 746-0164
Mailing address
4601 NE 77TH AVE, SUITE 300, VANCOUVER, WA 98662-6729
(360) 892-6628
(360) 882-5793
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC-1083
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
ID
Enumeration date
11/26/2014
Last updated
11/26/2014
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