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Evergreen Idaho Healthcare Sandpoint, L.l.c.
Assisted Living Facility in Sandpoint, Idaho
NPI 1891003554

Evergreen Idaho Healthcare Sandpoint, L.l.c. is an Assisted Living Facility based in Vancouver, ID. Evergreen Idaho Healthcare Sandpoint, L.l.c. practices in Sandpoint, ID. The NPI Number for Evergreen Idaho Healthcare Sandpoint, L.l.c. is 1891003554 and holds a License No. RC-511 (Idaho).

The current practice location address for Evergreen Idaho Healthcare Sandpoint, L.l.c. is 624 S Division Ave, Sandpoint, ID and can be reached out via phone at 208-265-2354 and via fax at 208-263-8787.

Location: 624 S Division Ave, Sandpoint, ID, 98662-6729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891003554
Provider Name
Evergreen Idaho Healthcare Sandpoint, L.l.c.
Credential
Provider Entity Type
Organization
Address
624 S Division Ave, Sandpoint, ID, 98662-6729
Phone Number
208-265-2354
Fax Number
208-263-8787
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8055822 05 ID
institution
Provider Business Practice Location Address Details
Address
624 S Division Ave
City
Sandpoint
State
Idaho
Zip
83864-1749
Phone Number
208-265-2354
Fax Number
208-263-8787
person
Provider Business Mailing Address Details
Address
624 S Division Ave
City
Sandpoint
State
Idaho
Zip
83864-1749
Phone Number
208-265-2354
Fax Number
208-263-8787
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
RC-511 (Idaho)
Definition
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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