Wilkinson Georgia Idaho Senior Housing LLC
NPI #1700078524 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1700078524
- Entity Type
- Organization
- Organization Name
- Wilkinson Georgia Idaho Senior Housing LLC
- Primary Specialty
- Point of Service
- Enumeration Date
- Aug 15, 2007
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 840 E DALTON AVE
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815-9338
- Phone
- (208) 665-2100
Authorized Official
- Name
- MR. JOHN HOLTZ
- Title
- CONTROLLER
- Phone
- (541) 747-3373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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