Organization
ETROS LIVING, LLC
Active
Other names
Opus Living, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER WILLIAMS (CEO)
(845) 248-4554
Entity
Organization
Contact information
Practice address
840 E DALTON AVE, COEUR D ALENE, ID 83815-9338
(208) 665-2100
(208) 665-9250
Mailing address
2986 N GRAND FIR DR, COEUR D ALENE, ID 83815-6253
(845) 248-4554
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
315D00000X
Inpatient Hospice
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC-1065
IDAHO DEPARTMENT OF HEALTH AND WELFARE RESIDENTIAL CARE FACILITY LICENSE
ID
01
—
RC-1066
IDAHO DEPARTMENT OF HEALTH AND WELFARE RESIDENTIAL CARE FACILITY LICENSE
ID
01
—
RC-1067
IDAHO DEPARTMENT OF HEALTH AND WELFARE RESIDENTIAL CARE FACILITY LICENSE
ID
Enumeration date
10/10/2017
Last updated
03/17/2018
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