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Coeur D Alene Homes Phase Ii
Physical Disabilities Residential Treatment Facility in Coeur D Alene, Idaho
NPI 1306459599

Coeur D Alene Homes Phase Ii is a Physical Disabilities Residential Treatment Facility based in Coeur D Alene, ID. Coeur D Alene Homes Phase Ii practices in Coeur D Alene, ID. The NPI Number for Coeur D Alene Homes Phase Ii is 1306459599 and holds a License No. (Idaho).

The current practice location address for Coeur D Alene Homes Phase Ii is 624 W Harrison Ave, Coeur D Alene, ID and can be reached out via phone at 208-664-8119.

Location: 624 W Harrison Ave, Coeur D Alene, ID, 83814-5286
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306459599
Provider Name
Coeur D Alene Homes Phase Ii
Credential
Provider Entity Type
Organization
Address
624 W Harrison Ave, Coeur D Alene, ID, 83814-5286
Phone Number
208-664-8119
Fax Number
Provider Enumeration Date
08/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M8075669 05 ID
institution
Provider Business Practice Location Address Details
Address
624 W Harrison Ave
City
Coeur D Alene
State
Idaho
Zip
83814-5286
Phone Number
208-664-8119
Fax Number
person
Provider Business Mailing Address Details
Address
624 W Harrison Ave
City
Coeur D Alene
State
Idaho
Zip
83814-5286
Phone Number
208-664-8119
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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