NPI 1487453494

Mason Park Healthcare, INC.

Organisation Skilled Nursing Facility Coeur D Alene, ID

Practice location

Address: 210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403
Phone: (208) 664-2185

Authorised official

Name: Soon Burnam
Title: Secretary
Phone: (949) 540-1249

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1487453494
Entity type: Organization
NPI issued: 11 Mar 2025
Record last updated: 27 May 2025

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.