Nursing Homes / Skilled Nursing — Crescent City, ID ✓ Verified Identifiers

The Pavilion at Crescent Lake

100 N LAKE ST, Crescent City, ID 32112

The Pavilion at Crescent Lake is a nursing home in Crescent City, ID. Verify license and CMS identifiers before scheduling a tour.

Official Data & Quality Signals

State License

12810961

Active identifier

CMS Certification

105808

Medicare / Medicaid

Ownership

Other

Primary Care Type

Nursing Home

Only type

✓ Verified Identifiers

State License 12810961
CMS Certification 105808
Care Type Nursing Home
Ownership Other

☰ Facility Profile

The Pavilion at Crescent Lake is a nursing homes / skilled nursing located in Crescent City, ID. The facility is situated at 100 N LAKE ST, Crescent City, ID 32112. It operates as a other organization. State license number: 12810961. CMS certification number: 105808.

Address 100 N LAKE ST, Crescent City, ID 32112
Phone (386) 698-2222
Ownership Type Other
Care Services Nursing Home

📋 Regulatory Hub

License Number

12810961

CMS Certification #

105808

Regulatory Standing

Active

Regulatory data sourced from state licensing agencies and CMS public records. Data is refreshed periodically. Report an issue with this data

📍 Location

100 N LAKE ST, Crescent City, ID, 32112

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