STATE OF IDAHO

Home Health

Active Organization
NPI: 1649277393

Practice Address

1901 ALVIN RICKEN DR
Pocatello, ID 83201

Phone: (208) 239-5210

Specialties

Specialty Code Primary License
Home Health 251E00000X Yes 13-7001 (ID)

Frequently Asked Questions

NPI 1649277393 is the National Provider Identifier for STATE OF IDAHO, a Home Health provider located in Pocatello, ID. This NPI was enumerated on July 7, 2005.

Quick Facts

NPI
1649277393
Type
Organization
Enumerated
Jul 7, 2005
Last Updated
Aug 22, 2020

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