13D2133602 CLIA NUMBER - GENERATIONS ASSISTED LIVING

Laboratory Demographics

CLIA Number: 13D2133602

Facility Name: GENERATIONS ASSISTED LIVING

Facility Address:
13400 N MEYER RD
RATHDRUM, ID
ZIP 83858
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Facility Phone Number: 208 687-0495

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1144556978

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	13D2133602
LAB Type	Assisted Living Facility
Facility Name	GENERATIONS ASSISTED LIVING
Street	13400 N MEYER RD
City	RATHDRUM
State	ID
ZIP	83858
Phone	208 687-0495
CertificateType	4
CertificateEffectiveDate	7/17/2023
CertificateExpirationDate	7/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024