NPI 1053746511

Pacifica Sherman LLC

Organisation Assisted Living Facility Coeur D Alene, ID

Practice location

Address: 2100 E Sherman Ave, Coeur D Alene, ID 83814-5335
Phone: (208) 215-7166
Mailing address: 1775 Hancock St Suite 200, San Diego, CA 92110-2034

Authorised official

Name: Deepak Israni
Title: Managing Partner
Phone: (619) 296-9000

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1053746511
Entity type: Organization
NPI issued: 3 Sep 2013
Record last updated: 3 Sep 2013

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.