NPI 1003982927
Lacrosse Health- Coeur D'Alene, LLC
Practice location
- Address
- 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403
- Phone
- (208) 664-2185
- Fax
- (208) 664-1604
- Mailing address
- 210 West Lacrosse Avenue, Coeur D'Alene, ID 83814-2403
Authorised official
- Name
- Dov E. Jacobs
- Title
- Manager
- Phone
- (323) 678-4426
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1003982927
- Entity type
- Organization
- NPI issued
- 24 Nov 2006
- Record last updated
- 17 Aug 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.