Organization · Type 2 NPI

Emeritus Corporation

Assisted Living Facility · Coeur D Alene, ID

NPI number 1609088525 Active

Practice location

205 E Anton Ave
Coeur D Alene, ID 83815-3721

Call (208) 667-6490 Map

Fax (208) 765-4352

Mailing address

6737 W Washington St, Suite 2300
Milwaukee, WI 53214-5647

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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NPI record

NPI: 1609088525
Entity type: Organization (Type 2)
Issued: May 4, 2007
Last updated: Jul 20, 2020
Status: Active
Subpart: Yes of Brookdale Senior Living Inc

Other names

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Brookdale Coeur D'alene · doing business as
Brookdale Coeur D'alene · doing business as

Authorized official

Joanne K Leskowicz
Senior Vice President
(414) 918-5000

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About NPI 1609088525

Emeritus Corporation's National Provider Identifier is 1609088525, issued on May 4, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 20, 2020.