SOUTH PARK, INC.

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1295954139

Practice Address

2369 RULON AVE
Pocatello, ID 83201

Phone: (208) 237-5538

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes 00259790 (ID)

Frequently Asked Questions

NPI 1295954139 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 25, 2007.

Quick Facts

NPI
1295954139
Type
Organization
Enumerated
Apr 25, 2007
Last Updated
Aug 22, 2020

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