NPI 1649547670
Coeur D'Alene Partners, LLC Dba Creekside Inn Assisted Living Alz Comm
Practice location
- Address
- 240 E Kathleen Ave, Coeur D Alene, ID 83815-9812
- Phone
- (208) 665-2444
- Mailing address
- 111 Market St NE STE 200, Olympia, WA 98501-1008
Authorised official
- Name
- Emmett Aaron Koelsch
- Title
- Manager
- Phone
- (360) 867-1900
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1649547670
- Entity type
- Organization
- NPI issued
- 18 Nov 2011
- Record last updated
- 14 Dec 2011
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.