NPI 1518470343

Ivy Court - Coeur D'Alene, LLC

Organisation Skilled Nursing Facility Coeur D Alene, ID

Practice location

Address: 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610
Phone: (208) 667-6486
Mailing address: 3220 Rosedale St NW STE 200, Gig Harbor, WA 98335-1837

Authorised official

Name: Dov E Jacobs
Title: Manager
Phone: (323) 678-4426

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1518470343
Entity type: Organization
NPI issued: 15 Nov 2017
Record last updated: 15 Nov 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.