Organization
IVY COURT - COEUR D'ALENE, LLC
Active
Other names
Ivy Court
Organization subpart
No
Provider details
NPI number
Authorized official
MR. 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
(208) 676-8276
Mailing address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
(208) 676-8276
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000283600
—
ID
Enumeration date
11/17/2006
Last updated
07/21/2022
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