Organization · Type 2 NPI

South Park, Inc.

Nursing Care Agency · Pocatello, ID

NPI number 1194930768 Active

Practice location

415 S Arthur Ave
Pocatello, ID 83204-3303

Fax (208) 233-6842

Specialties and licenses

Taxonomy	Code	License
Nursing Care Agency Primary	251J00000X	None listed

Nursing Care Agency: A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

4 other providers at this address

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About NPI 1194930768

South Park, Inc.'s National Provider Identifier is 1194930768, issued on May 14, 2007. The primary taxonomy on file is Nursing Care Agency (251J00000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 22, 2020.