Organization
COEUR D'ALENE PARTNERS, LLC DBA CREEKSIDE INN ASSISTED LIVING ALZ COMM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMETT AARON KOELSCH (MANAGER)
(360) 867-1900
Entity
Organization
Contact information
Practice address
240 E KATHLEEN AVE, COEUR D ALENE, ID 83815-9812
(208) 665-2444
Mailing address
111 MARKET ST NE STE 200, OLYMPIA, WA 98501-1008
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
RC-954
ID
Other
Enumeration date
11/18/2011
Last updated
12/14/2011
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