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Organization

COEUR D ALENE OF CASCADIA

Active
Parent organization
CASCADIA IDAHO OPERATIONS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CASCADIA IDAHO OPERATIONS, LLC
Authorized official
OWEN HAMMOND (PRESIDENT)
(208) 401-9600
Entity
Organization

Contact information

Practice address
2514 N 7TH ST, COEUR D ALENE, ID 83814-3720
(208) 664-8128
Mailing address
2205 E RIVERSIDE DR STE 100, EAGLE, ID 83616-7621
(208) 401-9600

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
11/28/2016
Last updated
06/07/2024
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