Organization · Type 2 NPI
Prohealth
Adult Care Home Facility · Pocatello, ID
NPI number
1063613495
Active
Practice location
936 E Center St
Pocatello, ID 83201-5702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Pediatric Skilled Nursing Facility | 3140N1450X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
Other adult care home facility providers in Pocatello
About NPI 1063613495
Prohealth's National Provider Identifier is 1063613495, issued on May 31, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Pocatello, ID. The record was last updated on Apr 17, 2008.