NPI 1700078524

Wilkinson Georgia Idaho Senior Housing LLC

Organisation Point of Service Coeur D Alene, ID

Practice location

Address: 840 E Dalton Ave, Coeur D Alene, ID 83815-9338
Phone: (208) 665-2100
Fax: (208) 665-9250
Mailing address: 78 Centennial Loop, Eugene, OR 97401-7900

Authorised official

Name: John Holtz
Title: Controller
Phone: (541) 747-3373

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Idaho →

Registry record

NPI: 1700078524
Entity type: Organization
NPI issued: 15 Aug 2007
Record last updated: 19 Jun 2008

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.