Organization · Type 2 NPI
South Park, Inc.
Intellectual Disabilities Intermediate Care Facility · Pocatello, ID
NPI number
1295954139
Active
Practice location
2369 Rulon Ave
Pocatello, ID 83201-1881
Mailing address
415 S Arthur Ave
Pocatello, ID 83204-3303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 00259790 (ID) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Pocatello
- South Park, Inc.Intellectual Disabilities Intermediate Care Facility Pocatello, ID NPI 1134340011
- South Park, Inc.Intellectual Disabilities Intermediate Care Facility Pocatello, ID NPI 1205056538
- Belmont Management, Inc.Intellectual Disabilities Intermediate Care Facility Pocatello, ID NPI 1285761148
- Belmont Management, Inc.Intellectual Disabilities Intermediate Care Facility Pocatello, ID NPI 1902110380
- Belmont Management, Inc.Intellectual Disabilities Intermediate Care Facility Pocatello, ID NPI 1922135789
About NPI 1295954139
South Park, Inc.'s National Provider Identifier is 1295954139, issued on Apr 25, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 22, 2020.