SOUTH PARK, INC.

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1134340011

Practice Address

3875 BANNOCK HWY
Pocatello, ID 83204

Phone: (208) 233-6844

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes 00259800 (ID)

Frequently Asked Questions

NPI 1134340011 is the National Provider Identifier for SOUTH PARK, INC., a Intermediate Care Facility, Intellectual Disabilities provider located in Pocatello, ID. This NPI was enumerated on May 1, 2007.

Quick Facts

NPI
1134340011
Type
Organization
Enumerated
May 1, 2007
Last Updated
Aug 22, 2020

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