NPI 1154458354

Legends Park LLC

Organisation Assisted Living Facility Coeur D Alene, ID

Practice location

Address: 1820 W Golf Course Rd, Coeur D Alene, ID 83815-1627
Phone: (208) 666-9900
Fax: (208) 765-6587
Mailing address: 7700 NE Parkway Dr Suite 300, Vancouver, WA 98662-6648

Authorised official

Name: Gregory J Vislocky
Title: Managing Member
Phone: (360) 735-7155

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence RC 548 (ID)

Other Assisted Living Facility providers in Idaho →

Registry record

NPI: 1154458354
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 22 Aug 2020

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.