On Site For Seniors INC
Clinic/Center, Adult Day Care in Coeur D Alene, ID. Organization (NPI-2).
NPI number1265621908
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1265621908
- Entity type
- Organization (NPI-2)
- Legal business name
- On Site For Seniors INC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2007
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
| 207RG0300X | Internal Medicine, Geriatric Medicine | – | – |
Practice location
296 W Sunset Ave Ste 14Coeur D Alene, ID 83815-8367
Phone 208-967-4771
Mailing address
Po Box 238Hayden, ID 83835-0238
Phone 208-967-4771 · Fax 208-683-8101
Authorized official
Susan Melchiore
Rendering Physician
2089674771
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