Organization
IVY COURT - COEUR D'ALENE, LLC
Active
Other names
Ivy Court
Organization subpart
No
Provider details
NPI number
Authorized official
DOV E JACOBS (MANAGER)
(323) 678-4426
Entity
Organization
Contact information
Practice address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
Mailing address
3220 ROSEDALE ST NW STE 200, GIG HARBOR, WA 98335-1837
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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