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1356500649
EAGLE CREST LIFE SERVICES INC
COEUR D ALENE, ID
NPI
1356500649
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Entity Type
Organization
Authorized Contact
ROBERT K WHEELER
Owner
208-666-9162
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2008-06-03
Last Update Date
2009-02-20
Business Address
EAGLE CREST LIFE SERVICES INC
212 S 11TH ST STE 3
COEUR D ALENE, ID 83814-4000
Phone number: 208-666-9162
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Mailing Address
EAGLE CREST LIFE SERVICES INC
PO BOX 3723
COEUR D ALENE, ID 83816-2529
Phone number: 208-666-9162
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