SOUTH PARK, INC.

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1205056538

Practice Address

1722 CHURCH HILL DOWNS
Pocatello, ID 83201

Phone: (208) 237-2010

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes 00259810 (ID)

Frequently Asked Questions

NPI 1205056538 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 April 27, 2007.

Quick Facts

NPI
1205056538
Type
Organization
Enumerated
Apr 27, 2007
Last Updated
Aug 22, 2020

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