| On Site For Seniors Inc | |
|
296 W Sunset Ave Ste 14 Coeur D Alene ID 83815-8367 | |
| (208) 967-4771 | |
| Not Available |
| Full Name | On Site For Seniors Inc |
|---|---|
| Speciality | Clinic/center - Adult Day Care |
| Location | 296 W Sunset Ave Ste 14, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Susan Melchiore (RENDERING PHYSICIAN) |
| Authorized Official Contact | 2089674771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Site For Seniors Inc Po Box 238 Hayden ID 83835-0238 Ph: (208) 967-4771 | On Site For Seniors Inc 296 W Sunset Ave Ste 14 Coeur D Alene ID 83815-8367 Ph: (208) 967-4771 |
| NPI Number | 1265621908 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265621908 | NPI | - | NPPES |
| DG7201 | Other | ID | MEDICARE RAILROAD CARRIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Primary |
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