FMG WEST LACROSSE AVENUE IDAHO LLC

Skilled Nursing Facility

Active Organization
NPI: 1811385974

Practice Address

210 W LACROSSE AVE
Coeur D Alene, ID 83814

Phone: (208) 664-2185

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes -

Frequently Asked Questions

NPI 1811385974 is the National Provider Identifier for FMG WEST LACROSSE AVENUE IDAHO LLC, a Skilled Nursing Facility provider located in Coeur D Alene, ID. This NPI was enumerated on December 24, 2014.

Quick Facts

NPI
1811385974
Type
Organization
Enumerated
Dec 24, 2014
Last Updated
Nov 7, 2017

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